Individual
KATELYN BOUTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 PENDLETON DR, HEBRON, CT 06248-1579
(860) 228-9488
Mailing address
347 BOSTON HILL RD, ANDOVER, CT 06232-1422
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002804
CT
Other
Enumeration date
03/22/2022
Last updated
06/25/2025
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