| NPI | 1477002889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GEREDA Owner Of Practice 203-525-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007676) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |