Individual
KATHLEEN ANN SHIMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
78 EASTERN BLVD, GLASTONBURY, CT 06033-4325
(860) 218-8387
Mailing address
441 CHURCH ST, WETHERSFIELD, CT 06109-2006
(860) 218-8387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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