Organization
KAIROS THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA SORMRUDE MED, LCSW (OWNER)
(860) 303-3777
Entity
Organization
Contact information
Practice address
11 MAIN ST STE 3G, MYSTIC, CT 06355-3654
(860) 303-3777
Mailing address
11 MAIN ST STE 3G, MYSTIC, CT 06355-3654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
06/08/2020
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