Most Relevant Information
Provider Data
| NPI Number: | 1003324195 |
| Provider Name: | KATELYN BAEZ LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | MSW.004750 |
Most Important Dates
| Enumeration Date: | 01/11/2018 |
| Last Updated: | 06/14/2023 |
Provider Practice Location
164 HEMPSTEAD ST
NEW LONDON
CT
063205638
Practice Location Phone/Fax
| Phone: | 8609104881 |
| Fax: |
Provider Mailing Location
31 SAINT JOSEPH CT
GROTON
CT
063404815
Provider Mailing Phone/Fax
| Phone: | 8609104881 |
| Fax: |