Individual
AMY MARIE BOCCACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
81 N MAIN ST, BRISTOL, CT 06010-8105
(860) 583-9954
(860) 585-6811
Mailing address
81 N MAIN ST, BRISTOL, CT 06010-8105
(860) 583-9954
(860) 585-6811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7793
CT
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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