KRISTEN FORMANEK

EAST GRANBY, CT
NPI1114567153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  010816)
Enumeration Date2020-01-07
Last Update Date2020-01-07
Business Address
KRISTEN FORMANEK LCSW
17 CHELSEA LN
EAST GRANBY, CT 06026-9635
Phone number: 860-543-3928
Mailing Address
KRISTEN FORMANEK LCSW
17 CHELSEA LN
EAST GRANBY, CT 06026-9635
Phone number: 860-543-3928
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