Malyna Kettavong, LCSW
NPI #1922435676 in Norwich, Connecticut
Provider Information
- NPI Number
- 1922435676
- Entity Type
- Individual
- Name
- Malyna Kettavong, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 26, 2013
- Last Updated
- Aug 5, 2016
Practice Location
- Address
- 47 TOWN ST
- City
- Norwich
- State
- Connecticut
- ZIP Code
- 06360-2315
- Phone
- (860) 892-7042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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