Individual
KELLY E SIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
673 S MAIN ST, CHESHIRE, CT 06410-3149
(203) 271-1430
Mailing address
37 BOURBON ST, SOUTH WINDSOR, CT 06074-2127
(860) 869-5891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
011476
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2017
Last updated
01/14/2026
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