Individual
MRS. KATHLEEN CONFREY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
481 GOLDSTAR HIGHWAY, #301, GROTON, CT 06340
(860) 449-0055
(860) 449-0055
Mailing address
481 GOLDSTAR HIGHWAY, #301, GROTON, CT 06340
(860) 449-0055
(860) 449-0055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2784
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004204781
—
CT
01
—
191016
MHN
—
01
—
D2203554
OXFORD
—
Enumeration date
08/12/2006
Last updated
04/24/2019
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