Individual
KAITLIN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
194 LORDSHIP RD, STRATFORD, CT 06615-7523
(203) 260-0864
Mailing address
194 LORDSHIP RD, STRATFORD, CT 06615-7523
(203) 260-0864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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