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Organization
KAITLIN MYSKA LMFT LLC
Active
Organization
KAITLIN MYSKA LMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN MARIE MYSKA LMFT (OWNER AND LICENSED CLINICIAN)
(860) 375-4060
Entity
Organization
Contact information
Practice address
99 STAFFORD RD STE B-1, ELLINGTON, CT 06029-2834
(860) 375-4060
Mailing address
12 MEADOW RD, BOLTON, CT 06043-7619
(203) 312-3590
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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