Individual
MS. KAITLYN MARIE FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MWS
Contact information
Practice address
12 PHOENIX ST, VERNON, CT 06066-5416
(860) 614-4777
Mailing address
12 PHOENIX ST, VERNON, CT 06066-5416
(860) 614-4777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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