Individual
KATHERINE COLTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
270 FARMINGTON AVE, FARMINGTON, CT 06032-1953
(860) 677-5570
Mailing address
46 BROOK RD, ENFIELD, CT 06082-2711
(860) 749-2520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005668
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235185786
—
CT
Enumeration date
05/26/2006
Last updated
08/06/2008
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