Individual
KIMBERLY CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 BELEDEN GARDENS DR, BRISTOL, CT 06010-5834
(860) 845-5901
Mailing address
91 DANA LN, MERIDEN, CT 06451-5076
(203) 815-0932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14256
CT
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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