Organization
CHRISTY LEE KNOWLES, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY LEE KNOWLES LCSW (CEO)
(860) 280-4008
Entity
Organization
Contact information
Practice address
1177 SILAS DEANE HWY, 3RD FLOOR, WETHERSFIELD, CT 06109-4348
(860) 280-4008
Mailing address
28 COTTWELL DR, WETHERSFIELD, CT 06109-3009
(860) 280-4008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007448
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007448
LCSW
CT
Enumeration date
04/01/2016
Last updated
04/01/2016
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