Individual
ANNELIIS KOIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5534
Mailing address
PO BOX 1029, AVON, CT 06001-1029
(860) 651-8193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004752
CT
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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