Individual
KATHLEEN M ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 MAIN ST STE 4, SEYMOUR, CT 06483-3138
(203) 573-6103
(203) 573-7240
Mailing address
115 MAIN ST STE 4, SEYMOUR, CT 06483-3138
(203) 217-1840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006995
CT
Other
Enumeration date
04/06/2009
Last updated
04/12/2019
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