Individual
MRS. KATHRYN MARY TKACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
133 MOUNTAIN RD, SUFFIELD, CT 06078-2084
(860) 254-5582
Mailing address
133 MOUNTAIN RD, SUFFIELD, CT 06078-2084
(860) 254-5582
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001174
CT
Other
Enumeration date
11/09/2006
Last updated
06/24/2019
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