Kittredge, Mary Kay

Kittredge, Mary Kay is an individual health care provider with primary practice located at 420 Somers Rd , Ellington CT 06029-2629. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kittredge, Mary Kay can be contacted via phone (860) 255-4475.

Contact Information

Primary practice address
420 Somers Rd Ellington CT 06029-2629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11879 Connecticut

Profile Details

NPI number 1144698473
LBN Legal business name Kittredge, Mary Kay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2015
Last updated Aug 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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