Individual
KATIE ANN MARIE CERVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 VALLEY RD, NEW CANAAN, CT 06840-3899
(203) 801-3125
Mailing address
85 RED COACH DR, STRATFORD, CT 06614-2238
(203) 260-7847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
012872
CT
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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