Individual
KIMBERLY JEAN D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
351 SILVER ST, MIDDLETOWN, CT 06457-3919
(860) 262-5345
Mailing address
366 POPLAR RD, MIDDLETOWN, CT 06457-1925
(860) 204-1491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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