Kaileah Christie-Fogg, LLC
NPI #1780057653 in Groton, Connecticut
Provider Information
- NPI Number
- 1780057653
- Entity Type
- Organization
- Organization Name
- Kaileah Christie-Fogg, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 2, 2015
- Last Updated
- Oct 27, 2016
Practice Location
- Address
- 481 GOLD STAR HWY
- Address 2
- SUITE 301
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-6702
- Phone
- (860) 287-6393
Authorized Official
- Name
- MS. KAILEAH CHRISTIE-FOGG, LCSW
- Title
- OWNER
- Phone
- (860) 287-6393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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