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Individual

KATHERINE ANNE TAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
239 GLENVILLE RD STE 3, GREENWICH, CT 06831-4172
(610) 639-5003
Mailing address
1225 PARK AVE # PHS, NEW YORK, NY 10128-1758
(610) 639-5003

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6435
CT

Other

Enumeration date
03/18/2024
Last updated
10/20/2024
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