Organization
CENTRAL CT WELLNESS, LLC
Active
Other names
Central CT Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE KIRCH LCSW (THERAPIST)
(860) 367-5061
Entity
Organization
Contact information
Practice address
136 COMMERCE WAY, SOUTH WINDSOR, CT 06074-1151
(860) 367-5061
Mailing address
46 HAWTHORNE ST, MANCHESTER, CT 06042-3021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008335
CT
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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