Individual
MR. DENNIS KOFI KONADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000894
CT
1041C0700X
Clinical Social Worker
Primary
58.007504
CT
Other
Enumeration date
08/26/2010
Last updated
12/23/2010
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