Individual
KAYLA JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
408 HIGHLAND AVE STE A6, CHESHIRE, CT 06410-2525
(203) 525-4955
Mailing address
253 BERLIN AVE, SOUTHINGTON, CT 06489-3277
(203) 525-4955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10048
CT
Other
Enumeration date
09/11/2014
Last updated
01/08/2018
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