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Individual

MRS. KIMBERLY CEGELKA KOZLOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
GRIFFIN HOSPITAL, 130 DIVISION STREET, DERBY, CT 06418
(203) 732-7550
(203) 732-1550
Mailing address
GRIFFIN HOSPITAL, 130 DIVISION STREET, DERBY, CT 06418
(203) 732-7550
(203) 732-1550

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
7072
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004025219
CT
05
004040549
CT
05
004041927
CT
Enumeration date
07/02/2007
Last updated
06/08/2023
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