Most Relevant Information
Provider Data
| NPI Number: | 1003443219 |
| Provider Name: | D'AMIRA KENDRICK LPCA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2020 |
| Last Updated: | 03/26/2020 |
Provider Practice Location
400 COLUMBUS AVE
NEW HAVEN
CT
065191233
Practice Location Phone/Fax
| Phone: | 2035033000 |
| Fax: |
Provider Mailing Location
394 EZRA ST
BRIDGEPORT
CT
066064730
Provider Mailing Phone/Fax
| Phone: | 2034491375 |
| Fax: |