Individual
MR. PAUL KOZODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
605 WASHINGTON AVENUE, NORTH HAVEN, CT 06473
(203) 530-2053
(203) 889-0198
Mailing address
605 WASHINGTON AVENUE, NORTH HAVEN, CT 06473
(203) 530-2053
(203) 889-0198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000631
CT
1041C0700X
Clinical Social Worker
000631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004260949
CT MED. ASST. PROG. ID
CT
Enumeration date
12/17/2006
Last updated
05/01/2018
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