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MS. KATELYN BAEZ LCSW

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1003324195

Individual Registrant:
MS. KATELYN  BAEZ LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
68 HAWTHORNE DR N APT 1  NEW LONDON, CT 06320-3928 US
Tel: 860-389-3075  Fax: --

Contact information for business:
68 HAWTHORNE DR N APT 1  NEW LONDON, CT 06320-3928 US
Tel: 860-910-4881  Fax: --

Registration Information:
NPI: 1003324195
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N172V00000XOther Service Providers
Community Health Worker
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CTMSW.004750

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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