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Individual
MS. KRISTIN HOLDT PRACITTO
Active
Individual
MS. KRISTIN HOLDT PRACITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004542
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00803733
—
CT
01
—
060669107
HEALTHYCT WELLMORE GRP/FACILITY
CT
01
—
10450310 WATERBURY
BEACON HEALTH STRATEGIES
CT
01
—
13752330
CAQH
CT
01
—
574044 PENDING
MHN TRICARENORTH
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
10/19/2011
Last updated
05/18/2018
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