Individual
KRISTA LYNN STIEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
152 SIMSBURY ROAD, BUILDING #9, AVON, CT 06001
(860) 882-2008
Mailing address
9 SHERMAN DR, BURLINGTON, CT 06013-2503
(860) 882-2008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006506
CT
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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