Doctor Name: | MS. KENDRA LYN LABRIE |
NPI Number: | 1003038696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 005388 |
Business Practice Address: | 100 Northampton Lane A5 Plainville, CT - 06062 |
Business Phone Number: | 8603029680 |
Business Fax Number: | |
Mailing Address: | 100 Northampton Lane, A5 PLAINVILLE |
State: | CT |
Postal Code: | 06062 |
Phone Number: | 8603029680 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |