Individual
MS. JULIANNE RENEE KIVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10 BRENDI TRL, COLUMBIA, CT 06237-1401
(860) 428-4129
Mailing address
10 BRENDI TRL, COLUMBIA, CT 06237-1401
(860) 428-4129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6187
CT
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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