Individual
KIMBERLY BACIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 WATERTOWN AVE, WATERBURY, CT 06708-2011
(203) 756-8984
Mailing address
1719 LITCHFIELD RD, WATERTOWN, CT 06795-1018
(860) 417-2008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007196
CT
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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