Individual
MRS. KIMBERLY J MARGANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 YORK ST APT 1D, NEW HAVEN, CT 06511-5660
(203) 525-4275
Mailing address
123 YORK ST APT 1D, NEW HAVEN, CT 06511-5660
(203) 525-4275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007676
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407208358
—
CT
Enumeration date
07/04/2016
Last updated
12/12/2019
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