Individual
MS. HEIDI LEE LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
15 OSBORNE LN, WOODBRIDGE, CT 06525-1728
(207) 522-3676
Mailing address
15 OSBORNE LN, WOODBRIDGE, CT 06525-1728
(207) 522-3676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009440
CT
1041C0700X
Clinical Social Worker
ME298967
ME
Other
Enumeration date
11/12/2006
Last updated
10/31/2023
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