Individual
KATHERINE LOUISE MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 BRINSMAID RD, WASHINGTON DEPOT, CT 06794-1200
(203) 805-9477
Mailing address
10 BRINSMAID RD, WASHINGTON DEPOT, CT 06794-1200
(203) 805-9477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003522
—
CT
Enumeration date
10/08/2010
Last updated
06/17/2015
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