Individual
ANNA LITVINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
481 GOLD STAR HWY # 100, GROTON, CT 06340-6702
(860) 446-8858
(860) 405-2140
Mailing address
575 MAIN ST FL 2, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2845
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008417
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236338
—
CT
Enumeration date
10/03/2013
Last updated
10/03/2013
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