Individual
MS. KATHLEEN L LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
384 MERROW RD STE D, TOLLAND, CT 06084-3957
(860) 875-2578
(860) 875-9963
Mailing address
384 MERROW RD STE D, TOLLAND, CT 06084-3957
(860) 875-2578
(860) 875-9963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001708
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140001708CT01
ANTHEM BLUE CROSS
CT
Enumeration date
02/26/2007
Last updated
07/08/2007
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