Individual
BORIS ENOWITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 N MAIN ST, WEST HARTFORD, CT 06117-2674
(860) 805-6386
Mailing address
PO BOX 370093, WEST HARTFORD, CT 06137-0093
(860) 805-6386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11078
CT
Other
Enumeration date
09/03/2015
Last updated
08/10/2024
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