KATHERINE H VIVANCO

STAMFORD, CT
NPI1710189105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CT  7121)
Enumeration Date2007-06-05
Last Update Date2009-09-04
Business Address
MS. KATHERINE H VIVANCO EDM, MSW, LCSW
2001 W MAIN ST SUITE 106B
STAMFORD, CT 06902-4501
Phone number: 203-321-9119
Mailing Address
MS. KATHERINE H VIVANCO EDM, MSW, LCSW
2001 W MAIN ST SUITE 106B
STAMFORD, CT 06902-4501
Phone number: 203-321-9119
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