Individual
KATHLEEN REPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
246 FEDERAL RD, SUITE C23-A, BROOKFIELD, CT 06804-2647
(203) 775-2815
(203) 740-1844
Mailing address
246 FEDERAL RD, SUITE C23-A, BROOKFIELD, CT 06804-2647
(203) 775-2815
(203) 740-1844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002095
CT
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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