Individual
MISS KAITLYN MICHELE VIZZIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15 VALLEY DR, GREENWICH, CT 06831-5205
(860) 940-4775
Mailing address
1401 KINGS HWY APT 314A, FAIRFIELD, CT 06824-5389
(860) 940-4775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6730
CT
Other
Enumeration date
10/24/2022
Last updated
04/24/2023
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