Individual
KELLY BOCUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 CHARTER OAK AVE, HARTFORD, CT 06106-1912
(860) 289-8131
Mailing address
111 CHARTER OAK AVE, HARTFORD, CT 06106-1912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006148
CT
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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