Individual
CHRISTINA M CICERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27 SYCAMORE RD, BLOOMFIELD, CT 06002-2516
(860) 803-7982
Mailing address
27 SYCAMORE RD, BLOOMFIELD, CT 06002-2516
(860) 803-7982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010853
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-0568215
PRIVATE PAY OR INSURANCE
CT
Enumeration date
07/17/2013
Last updated
08/05/2020
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