Individual
AMY CATHERINE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 FOUNTAIN ST, NEW HAVEN, CT 06515-1910
(203) 651-5031
Mailing address
12 FOUNTAIN ST, NEW HAVEN, CT 06515-1910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009591
CT
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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