Individual
KELLY A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 218-6066
Mailing address
100 FELICITY LN, TORRINGTON, CT 06790-6101
(860) 618-5121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008558
CT
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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