Provider Demographics
NPI:1699084004
Name:CURTIN, ANNIE GRACE (MS)
Entity type:Individual
Prefix:MS
First Name:ANNIE
Middle Name:GRACE
Last Name:CURTIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:MYSTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06355-2823
Mailing Address - Country:US
Mailing Address - Phone:860-572-1729
Mailing Address - Fax:
Practice Address - Street 1:20 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:MYSTIC
Practice Address - State:CT
Practice Address - Zip Code:06355-2823
Practice Address - Country:US
Practice Address - Phone:860-572-1729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-02
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health