Individual
MRS. HEATHER KRISTEN RADAWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
420 N MAIN ST, BRISTOL, CT 06010-4923
(860) 583-5858
(860) 584-9962
Mailing address
420 N MAIN ST, BRISTOL, CT 06010-4923
(860) 583-5858
(860) 584-9962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10758
CT
Other
Enumeration date
09/20/2019
Last updated
12/23/2020
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