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Katherine Olivia Granke
Professional Counselor in Derby, Connecticut
NPI 1235706599

Katherine Olivia Granke is a Professional Counselor based in Shelton, CT and is specialized in Professional. Katherine Olivia Granke practices in Derby, CT. The NPI Number for Katherine Olivia Granke is 1235706599 and holds a License No. (Connecticut).

The current practice location address for Katherine Olivia Granke is 30 Elizabeth St, Derby, CT and can be reached out via phone at 203-954-0543.

Location: 30 Elizabeth St, Derby, CT, 06484-8146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235706599
Provider Name
Katherine Olivia Granke
Credential
Provider Entity Type
Individual
Gender
Female
Address
30 Elizabeth St, Derby, CT, 06484-8146
Phone Number
203-954-0543
Fax Number
Provider Enumeration Date
06/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Elizabeth St
City
Derby
State
Connecticut
Zip
06418-1869
Phone Number
203-954-0543
Fax Number
person
Provider Business Mailing Address Details
Address
30 Elizabeth St
City
Derby
State
Connecticut
Zip
06418-1869
Phone Number
203-954-0543
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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