LISA MARIE KICINSKI

CHESHIRE, CT
NPI1073252912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CT  14684)
Enumeration Date2022-05-31
Last Update Date2024-12-05
Business Address
LISA MARIE KICINSKI LCSW
114 S MAIN ST STE 28AND32
CHESHIRE, CT 06410-3111
Phone number: 860-348-5614
Mailing Address
LISA MARIE KICINSKI LCSW
114 S MAIN ST STE 28AND32
CHESHIRE, CT 06410-3111
Phone number: 806-348-5614