Individual
JACQUELINE KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
840 POST RD E, WESTPORT, CT 06880-5236
(203) 429-4190
Mailing address
164 WAKEMAN RD, FAIRFIELD, CT 06824-5120
(203) 216-3572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008863
CT
Other
Enumeration date
09/28/2020
Last updated
11/02/2020
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