Individual
AUDRIE L KARRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
790 CENTRAL AVE, BRIDGEPORT, CT 06607-1705
(203) 332-4567
(203) 332-4568
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-6864
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006191
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006191
LICENSE
CT
Enumeration date
08/31/2006
Last updated
07/08/2007
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