KOSSOUTH EDWARD BRADFORD

NEW HAVEN, CT
NPI1104091198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  006695)
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
Mr. KOSSOUTH EDWARD BRADFORD LCSW
123 YORK ST STE 2B
NEW HAVEN, CT 06511-5660
Phone number: 203-787-5723
Mailing Address
Mr. KOSSOUTH EDWARD BRADFORD LCSW
123 YORK ST STE 2B
NEW HAVEN, CT 06511-5660
Phone number: 203-787-5723
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