LACY KORNILIEFF

WILLIMANTIC, CT
NPI1740755750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  10333)
Enumeration Date2018-10-05
Last Update Date2018-10-05
Business Address
LACY KORNILIEFF LCSW
40 MANSFIELD AVE
WILLIMANTIC, CT 06226-2018
Phone number: 860-450-0585
Mailing Address
LACY KORNILIEFF LCSW
40 MANSFIELD AVE
WILLIMANTIC, CT 06226-2018
Phone number: 860-450-0585
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