Individual
KIMBERLY WEARNE LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
124 SIMSBURY RD, AVON, CT 06001-3743
(860) 724-6914
Mailing address
52 CLIMAX RD, SIMSBURY, CT 06070-3039
(860) 724-6914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008589
CT
Other
Enumeration date
05/07/2014
Last updated
05/12/2017
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