Individual
ANN WHITALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 N MAIN ST UNIT 334, OLD SAYBROOK, CT 06475-4242
(413) 348-7076
Mailing address
7 N MAIN ST UNIT 334, OLD SAYBROOK, CT 06475-4242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120739
MA
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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