Individual
RANDALL REGINALD RISSING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
682 PROSPECT AVE # 103, HARTFORD, CT 06105-4238
(860) 663-8131
(888) 918-2702
Mailing address
91 COUNTRY SQUIRE DR UNIT G, CROMWELL, CT 06416-2528
(860) 857-8129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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