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Individual

MS. KAREN A GRATRIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
342 HARBOR ST, BRANFORD, CT 06405-4540
(203) 481-4248
Mailing address
342 HARBOR ST, BRANFORD, CT 06405-4540
(203) 481-4248

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005435
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11242508
C.A.Q.H. ID NUMBER
CT
01
140005435
ANTHEM ID NUMBER
CT
Enumeration date
08/01/2006
Last updated
11/26/2010
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