Individual provider · NPI-1

Kristine M Altwies, LCSW

Social Worker, Clinical · Waterbury, CT

NPI number1255662946
StatusActive
Last updated in NPPESJan 20, 2010

Details

NPI
1255662946
Entity type
Individual (NPI-1)
Name
Kristine M Altwies
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 20, 2010
Last updated
Jan 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical007205CTYes

Practice location

88 Grandview Avenue
Behavioral Health Waterbury Hospital
Waterbury, CT 06708

Phone 203-573-6103 · Fax 203-573-7240

Mailing address

88 Grandview Avenue
Behavioral Health Waterbury Hospital
Waterbury, CT 06708

Phone 203-573-6103 · Fax 203-573-7240

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