| N.C.K., LLC | |
|
2 Bull Ave 7 Wallingford CT 06492-6514 | |
| (203) 809-2455 | |
| Not Available |
| Full Name | N.C.K., LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2 Bull Ave, Wallingford, Connecticut |
| Authorized Official Name and Position | Natasha Kennedy (OWNER) |
| Authorized Official Contact | 2038092455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N.C.K., LLC 2 Bull Ave 7 Wallingford CT 06492-6514 Ph: (203) 809-2455 | N.C.K., LLC 2 Bull Ave 7 Wallingford CT 06492-6514 Ph: (203) 809-2455 |
| NPI Number | 1003108887 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003108887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005997 (Connecticut) | Primary |
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