Individual
KELLY STEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 MAPLE ST, CHESTER, CT 06412-1314
(860) 836-4070
Mailing address
PO BOX 797, HIGGANUM, CT 06441-0797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007812
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720525165
NPI
CT
Enumeration date
01/24/2017
Last updated
10/12/2020
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