Individual
GRETCHEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 PARK RD, WEST HARTFORD, CT 06119-2052
(860) 986-4595
Mailing address
298 PARK RD, WEST HARTFORD, CT 06119-2052
(860) 986-4595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10583
CT
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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