Archer E. Bridgeforth LCSW

NPI 1780854984 - Social Worker - 1041C0700X

NPI Details
NPI 1780854984
Gender Male
Enumeration Date 03/04/2008
Last Updated 03/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
85 LEXINGTON ST
NEW BRITAIN CT, 06052-1416, US
Phone (860) 223-1111
Fax (860) 224-7200
Business Location
69 TIMBER TRL
WETHERSFIELD CT, 06109-1454, US
Phone (860) 257-3722
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 006646
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According to our database, Mr. Archer E. Bridgeforth LCSW NPI is 1780854984, taxonomy code is 1041C0700X and license number is 006646, license state is located at Connecticut. Archer E. Bridgeforth LCSW physically located at 85 Lexington St, New Britain CT, 06052-1416. NPI Number Archer E. Bridgeforth LCSW has the Individual type.

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1780854984 NPI number is provided on an as is basis without warranty of any kind. 1780854984 is maintained by the National Plan & Provider Enumeration System. The contents of Archer E. Bridgeforth LCSW are for informational purposes only.