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Individual

KATHLEEN S AFRICANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
17 OLD KINGS HWY S, SUITE 1-2, DARIEN, CT 06820-4522
(203) 655-1559
Mailing address
17 OLD KINGS HWY S, SUITE 1-2, DARIEN, CT 06820-4522
(203) 655-1559

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000994
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004201795
CT
Enumeration date
07/02/2006
Last updated
07/14/2009
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