KATHRYN ELAINE ROOSEVELT

GROTON, CT
NPI1467894055
Former NameKATHRYN ELAINE CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  8260)
Enumeration Date2013-07-23
Last Update Date2013-07-23
Business Address
-- KATHRYN ELAINE ROOSEVELT LCSW
21 CHICAGO AVE
GROTON, CT 06340-4907
Phone number: 800-526-3485
Mailing Address
-- KATHRYN ELAINE ROOSEVELT LCSW
35 MILE CREEK RD APT 3D
OLD LYME, CT 06371-1712
Phone number: 618-559-1124
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