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SCOTT W COCHRAN LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1194918037
Individual Registrant: SCOTT W COCHRAN LCSW
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
10 SCHOOL ST MADISON, CT 06443-3033 US
Tel: 203-245-5645 Fax: 203-245-5648
Tel: 203-245-5645 Fax: 203-245-5648
Contact information for business:
10 SCHOOL ST MADISON, CT 06443-3033 US
Tel: 203-245-5645 Fax: 203-245-5648
Tel: 203-245-5645 Fax: 203-245-5648
Registration Information:
NPI: 1194918037
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CT | 005207 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
