Individual
KATHERINE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-7548
(203) 974-7719
Mailing address
88 RIDGEVIEW AVE, TRUMBULL, CT 06611-1937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8461
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174607253
MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM
CT
01
—
8461
LCSW
CT
Enumeration date
12/02/2013
Last updated
09/07/2023
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