Individual
MS. CAROL A. KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 ELIZABETH ST, THIRD FLOOR, DERBY, CT 06418-1802
(203) 954-0543
(203) 954-0544
Mailing address
30 ELIZABETH ST, THIRD FLOOR, DERBY, CT 06418-1802
(203) 954-0543
(203) 954-0544
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
000829
CT
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
R48163
CT
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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