Individual
KELSEY DISCEPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
14 INDIAN WOODS RD, BRANFORD, CT 06405-3912
(203) 214-2841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010349
CT
Other
Enumeration date
05/31/2016
Last updated
08/09/2021
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