Individual
KATHERINE IRIS VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 TREAT RD, WETHERSFIELD, CT 06109-3363
(860) 985-6317
Mailing address
75 TREAT RD, WETHERSFIELD, CT 06109-3363
(860) 985-6317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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