Kaileah Christie-Fogg, LCSW
NPI #1972849289 in Groton, Connecticut
Provider Information
- NPI Number
- 1972849289
- Entity Type
- Individual
- Name
- Kaileah Christie-Fogg, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LCSW
- Enumeration Date
- Dec 14, 2012
- Last Updated
- Aug 16, 2016
Practice Location
- Address
- 481 GOLD STAR HWY
- Address 2
- 301
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-6702
- Phone
- (860) 287-6393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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