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KATHERINE LOUISE MERRILL LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1376853499

Individual Registrant:
 KATHERINE LOUISE MERRILL LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
10 BRINSMAID RD  WASHINGTON DEPOT, CT 06794-1200 US
Tel: 203-805-9477  Fax: --

Contact information for business:
10 BRINSMAID RD  WASHINGTON DEPOT, CT 06794-1200 US
Tel: 203-805-9477  Fax: --

Registration Information:
NPI: 1376853499
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
008003522CT05




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