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Kenneth C Rando, LCSW

Social Worker, Clinical in Meriden, CT. Individual provider (NPI-1).

NPI number1861930786
StatusActive
Last updated in NPPESAug 28, 2020

Details

NPI
1861930786
Entity type
Individual (NPI-1)
Name
Kenneth C Rando
Credential
LCSW
Sex
Male
Sole proprietor
No
Enumeration date
Feb 11, 2017
Certification date
Aug 28, 2020
Last updated
Aug 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical10913CTYes
1041C0700X Social Worker, Clinical003414CT

Practice location

883 Paddock Ave
Meriden, CT 06450-7044

Phone 203-630-6356 · Fax 203-634-7089

Mailing address

883 Paddock Ave
Meriden, CT 06450-7044

Phone 203-630-6356

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