Individual
KATHLEEN FITZGERALD MARANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
85A DENISON AVE, MYSTIC, CT 06355-2710
(860) 501-2657
Mailing address
418 NOANK RD, MYSTIC, CT 06355-2324
(860) 501-2657
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004002
CT
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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