Individual
MS. KIMBERLY PLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
805 FARMINGTON AVE, WEST HARTFORD, CT 06119-1670
(860) 614-3555
Mailing address
805 FARMINGTON AVE, WEST HARTFORD, CT 06119-1670
(860) 614-3555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004626
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004215001
—
CT
Enumeration date
10/02/2006
Last updated
07/08/2007
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