Roosevelt, Kathryn Elaine

Roosevelt, Kathryn Elaine is an individual health care provider with primary practice located at 21 Chicago Ave , Groton CT 06340-4907. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roosevelt, Kathryn Elaine can be contacted via phone (800) 526-3485.

Contact Information

Primary practice address
21 Chicago Ave Groton CT 06340-4907
Phone: (800) 526-3485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8260 Connecticut

Profile Details

NPI number 1467894055
LBN Legal business name Roosevelt, Kathryn Elaine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2013
Last updated Jul 23rd, 2013 - about 13 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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