Individual
ENNA EDWARDOVNA KHONDKARYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 TEMPLE ST STE 7C, NEW HAVEN, CT 06510-2715
(203) 737-5876
(203) 737-5455
Mailing address
14 CROFUT RD, ORANGE, CT 06477-2508
(203) 676-6494
(203) 737-5455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010075
CT
Other
Enumeration date
01/31/2018
Last updated
02/20/2018
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