Individual
LISA SHEA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
405 MAIN ST, DANBURY, CT 06810-4710
(203) 743-4412
(120) 373-8118
Mailing address
405 MAIN ST, DANBURY, CT 06810-4710
(203) 743-4412
(120) 373-8118
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040655
—
CT
Enumeration date
10/09/2008
Last updated
11/14/2013
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