Individual
MRS. KAREN SUE PICIW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 SCHOOL ST, SHELTON, CT 06484-1825
(203) 926-9987
Mailing address
45 SCHOOL ST, SHELTON, CT 06484-1825
(203) 926-9987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000313
CT
363AM0700X
Medical Physician Assistant
000313
CT
Other
Enumeration date
02/19/2009
Last updated
04/27/2012
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