Individual
KATHLEEN HAGEARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 RAYNHAM RD, NEW HAVEN, CT 06512-5014
(203) 684-3013
Mailing address
11 RAYNHAM RD, NEW HAVEN, CT 06512-5014
(203) 684-3013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4839
CT
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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