Most Relevant Information
Provider Data
| NPI Number: | 1003635012 |
| Provider Name: | KRISSIA A OTERO LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2024 |
| Last Updated: | 10/07/2024 |
Provider Practice Location
255 BANK ST
WATERBURY
CT
067022236
Practice Location Phone/Fax
| Phone: | 2035969724 |
| Fax: |
Provider Mailing Location
470 YALE AVE
NEW HAVEN
CT
065152234
Provider Mailing Phone/Fax
| Phone: | 2038247513 |
| Fax: |