Individual
MRS. ANNETTE SANTIAGO-KOZMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 CEDAR STREET, NEW BRITAIN, CT 06052-2224
(860) 356-0828
(860) 356-0829
Mailing address
17 CEDAR ST, NEW BRITAIN, CT 06052-1301
(860) 356-0828
(860) 356-0829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006137
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004261236
—
CT
Enumeration date
02/26/2007
Last updated
10/09/2009
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