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NPI Code Detail

MEDICARE: MRS. KIMBERLY MORELLO

MEDICARE:  MRS. KIMBERLY  MORELLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor001683CT

General Provider Information

NPI Number : 1619197175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY MORELLO
Provider Business Mailing Address
First Line : 258 S MAIN ST
Second Line :
City : THOMASTON
State : CT
Zip : 06787-1815
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 258 S MAIN ST
Second Line :
City : THOMASTON
State : CT
Zip : 06787-1815
Country : US
Telephone Number : 860-283-8224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 04/18/2008

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Directions to “ MRS. KIMBERLY MORELLO ” Practice Location

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