Individual
MICKAYLA BIVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
255 BANK ST, WATERBURY, CT 06702-2236
(860) 826-1358
Mailing address
44 MALMALICK AVE, WATERBURY, CT 06708-4008
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12451
CT
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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