Individual
KRISTIN LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 PROGRESS DR, MEDICAL SUITES, STAMFORD, CT 06902-3600
(646) 325-6670
Mailing address
69 RELIHAN ROAD, DARIEN, CT 06820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006744
CT
1041C0700X
Clinical Social Worker
R058506-1
NY
Other
Enumeration date
07/12/2016
Last updated
02/06/2017
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