Kathleen D Riccio BS, CAC

NPI 1174662837 - Counselor - 101YA0400X

NPI Details
NPI 1174662837
Gender Female
Enumeration Date 02/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
435 E MAIN ST
ANSONIA CT, 06401-1964, US
Phone (203) 736-2601
Fax (203) 736-2641
Business Location
88 BRISTOL ST
WATERBURY CT, 06708-4927, US
Phone (203) 736-2601
Fax (203) 736-2641
Toxanomy
Taxonomy Code 101YA0400X
License State Connecticut
License Number CAC-4079
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According to our database, Ms. Kathleen D Riccio BS, CAC NPI is 1174662837, taxonomy code is 101YA0400X and license number is CAC-4079, license state is located at Connecticut. Kathleen D Riccio BS, CAC physically located at 435 E Main St, Ansonia CT, 06401-1964. NPI Number Kathleen D Riccio BS, CAC has the Individual type.

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1174662837 NPI number is provided on an as is basis without warranty of any kind. 1174662837 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen D Riccio BS, CAC are for informational purposes only.