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SCOTT W COCHRAN LCSW

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

Registrant NPI Number: 1194918037

Individual Registrant:
 SCOTT W COCHRAN LCSW
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

Contact information for business:
10 SCHOOL ST  MADISON, CT 06443-3033 US
Tel: 203-245-5645  Fax: 203-245-5648

Registration Information:
NPI: 1194918037
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT005207

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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