Individual
MS. KIMBERLY MICHELLE PICCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(203) 814-7731
Mailing address
31 WOODLAND ST, 3P, HARTFORD, CT 06105-4335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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