Individual
KATYA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
134 STATE ST, MERIDEN, CT 06450-3293
(203) 237-2229
(203) 686-1677
Mailing address
134 STATE ST, MERIDEN, CT 06450-3293
(203) 237-2229
(203) 686-1677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0716871
NY
104100000X
Social Worker
Primary
8675
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236338
—
CT
Enumeration date
04/01/2008
Last updated
09/21/2018
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