Individual
CHRISTINA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
51 BROAD ST, MIDDLETOWN, CT 06457-3204
(860) 358-3416
Mailing address
33 S WHITTLESEY AVE, WALLINGFORD, CT 06492-4101
(203) 376-1264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
011758
CT
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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