Individual
MRS. GAIL HELENE KORRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSSS / LCSW
Contact information
Practice address
111 PARK ST, STE 1L, NEW HAVEN, CT 06511-5472
(203) 776-8673
(203) 787-6677
Mailing address
111 PARK ST, STE 1L, NEW HAVEN, CT 06511-5472
(203) 776-8673
(203) 787-6677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000038
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004178259-00
ANTHEM BC/BS
CT
01
—
140000038CT-01
ANTHEM BC/BS
CT
Enumeration date
06/20/2005
Last updated
07/08/2007
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