Individual
CAROLYN KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 WIRE MILL RD STE 20, STAMFORD, CT 06903-4412
(203) 921-6653
Mailing address
14 DARTLEY ST, STAMFORD, CT 06905-3507
(516) 851-6936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
112438388
NY
1041C0700X
Clinical Social Worker
Primary
009330
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/02/2011
Last updated
06/15/2022
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