MALYNA KETTAVONG

NORWICH, CT
NPI1922435676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  8972)
Additional Taxonomies104100000X Social Worker
Enumeration Date2013-09-26
Last Update Date2016-08-05
Business Address
-- MALYNA KETTAVONG LCSW
47 TOWN ST
NORWICH, CT 06360-2315
Phone number: 860-892-7042
Mailing Address
-- MALYNA KETTAVONG LCSW
47 TOWN ST
NORWICH, CT 06360-2315
Phone number: 860-892-7042
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