Basic Information
| Provider Information | |||||||||
| NPI: | 1326222522 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KUTNER | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | ELLEN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | R.N., M.S.W. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 473 BLACK ROCK TPKE | ||||||||
| Address2: | |||||||||
| City: | REDDING | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068961628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037336369 | ||||||||
| FaxNumber: | 2036553452 | ||||||||
| Practice Location | |||||||||
| Address1: | FAMILY CENTERS- CENTER FOR HOPE | ||||||||
| Address2: | 590 POST ROAD | ||||||||
| City: | DARIEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036554693 | ||||||||
| FaxNumber: | 2036553452 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/24/2007 | ||||||||
| LastUpdateDate: | 10/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.