Individual
MRS. KELLY MARIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1450 CHAPEL ST, 2ND FLOOR- HAELEN CENTER, NEW HAVEN, CT 06511-4405
(203) 789-5108
(203) 867-5241
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006647
CT
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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