Provider Demographics
NPI:1235207846
Name:HAFFORD, REBEKAH (MSW)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:HAFFORD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SOUTH ST
Mailing Address - Street 2:UNIT # 71
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4410
Mailing Address - Country:US
Mailing Address - Phone:860-454-4484
Mailing Address - Fax:860-450-7116
Practice Address - Street 1:132 MANSFIELD AVE
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-2027
Practice Address - Country:US
Practice Address - Phone:860-456-2261
Practice Address - Fax:860-450-7116
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical