Individual
KATHARINE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
357 E CENTER ST, MANCHESTER, CT 06040-4472
(860) 836-0551
Mailing address
357 E CENTER ST, MANCHESTER, CT 06040-4472
(860) 836-0551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009105
CT
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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