Individual
KEVIN SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1284 BUCKS HILL RD, SOUTHBURY, CT 06488-2469
(475) 222-9355
Mailing address
1284 BUCKS HILL RD, SOUTHBURY, CT 06488-2469
(475) 222-9355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14444
CT
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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