Individual
CARRIE KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 MAIN ST STE 304-306, OLD SAYBROOK, CT 06475-2326
(617) 571-7979
Mailing address
263 MAIN ST, OLD SAYBROOK, CT 06475-2326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007880
CT
Other
Enumeration date
05/26/2012
Last updated
09/25/2018
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