KIMBERLY BW LISACK

GREENWICH, CT
NPI1558962928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  006573)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
KIMBERLY BW LISACK L.C.S.W
1 HOLLY HILL LN
GREENWICH, CT 06830-6001
Phone number: 203-622-1881
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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