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KENNETH ALEXANDER ADAIR LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1790287159

Individual Registrant:
 KENNETH ALEXANDER ADAIR LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
400 COLUMBUS AVE APC NEW HAVEN, CT 06519-1233 US
Tel: 203-503-3075  Fax: 203-503-3296

Contact information for business:
400 COLUMBUS AVENUE CREDENTIALING SPECIALIST NEW HAVEN, CT 06519-1233 US
Tel: 203-503-3000  Fax: --

Registration Information:
NPI: 1790287159
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT10952

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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