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1558962928
KIMBERLY BW LISACK
GREENWICH, CT
NPI
1558962928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 006573)
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
KIMBERLY BW LISACK L.C.S.W
1 HOLLY HILL LN
GREENWICH, CT 06830-6001
Phone number: 203-622-1881
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Mailing Address
KIMBERLY BW LISACK L.C.S.W
58 PINNACLE ROCK RD
STAMFORD, CT 06903-3133
Phone number: 914-565-6213
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