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1104462654
SHELLEY BETH KINGSBURY
MYSTIC, CT
NPI
1104462654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 010666)
Enumeration Date
2019-11-20
Last Update Date
2021-08-26
Business Address
SHELLEY BETH KINGSBURY LCSW
1101 NOANK LEDYARD RD # 12
MYSTIC, CT 06355-1361
Phone number: 860-861-8393
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Mailing Address
SHELLEY BETH KINGSBURY LCSW
22A AUTUMN VIEW DR
LISBON, CT 06351-2901
Phone number: 860-861-8393
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