Individual
CHRISTINA SOUTHLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5280
(203) 634-7040
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9816
CT
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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