Individual
MS. KATHLEEN CHESLOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2603
(203) 855-3985
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2603
(203) 855-3985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005206
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800002926
MEDICARE ID
CT
Enumeration date
03/22/2007
Last updated
10/11/2012
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