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MALYNA KETTAVONG, LCSW
LCSW
Clinical Social Worker
NPI: 1922435676IndividualAccepts Medicare
Specialties, Licenses & Credentials
Social Worker
Social Worker
Code: 104100000X
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
8972(CT)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2012
Contact & Hours
- Address
- 47 TOWN ST
NORWICH, CT 06360 - Phone
- (860) 892-7042
Quick Facts
- NPI
- 1922435676
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 14
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