Individual
KATELYN M DEGRAZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(203) 503-3470
(203) 503-3378
Mailing address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(203) 503-3470
(203) 503-3378
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7715
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
08/19/2008
Last updated
09/12/2011
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