Individual
KATHRYN MIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 RIVERSIDE AVE, WESTPORT, CT 06880-4811
(203) 222-9143
Mailing address
391 RIVERSIDE AVE, WESTPORT, CT 06880-4811
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CO92010001469
CT
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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