Individual
MS. KETTELIE PAULEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
479 HELEN ST, BRIDGEPORT, CT 06608-1321
(203) 576-8310
Mailing address
790 CENTRAL AVE, BRIDGEPORT, CT 06607-1705
(203) 332-4567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
06/10/2015
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