Individual
KATHRYN A KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1078 MAIN ST UNIT 4, BRANFORD, CT 06405-3716
(203) 483-6096
Mailing address
22 SAGAMORE COVE RD, BRANFORD, CT 06405-5020
(203) 483-6096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003198
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10743398
C.A.Q.H. ID
CT
01
—
140003198CT03
ANTHEM ID
CT
Enumeration date
08/07/2006
Last updated
02/05/2009
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