Individual
KATHERINE ELLEN KIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
999 ASYLUM AVE, HARTFORD, CT 06105-2416
(860) 782-2549
Mailing address
999 ASYLUM AVE, HARTFORD, CT 06105-2416
(860) 782-2549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-0886125
—
CT
Enumeration date
10/26/2012
Last updated
07/21/2022
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