Individual
MISS KATIE ANN WORMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
Mailing address
30 ABBY LN, HAMDEN, CT 06514-1607
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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