Individual
KATHERINE RYAN HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
163 FOX RUN RD, NEW CANAAN, CT 06840-2822
(203) 979-0138
Mailing address
163 FOX RUN RD, NEW CANAAN, CT 06840-2822
(203) 979-0138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007223
CT
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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