Individual
KELBY SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LICSW
Contact information
Practice address
62 HILLCREST AVE, WATERBURY, CT 06705-2948
(203) 805-9744
Mailing address
62 HILLCREST AVE, WATERBURY, CT 06705-2948
(203) 805-9744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
013352
CT
1041C0700X
Clinical Social Worker
128490
MA
Other
Enumeration date
06/30/2021
Last updated
12/30/2024
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