Individual
MRS. ALICE MARY SIMONIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 HICKSVILLE RD, CROMWELL, CT 06416-2409
(860) 635-6010
(860) 635-3425
Mailing address
60 HICKSVILLE RD, CROMWELL, CT 06416-2409
(860) 635-6010
(860) 635-3425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003869
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003869
LISENCED CLINICAL SOCIAL WORKER
CT
Enumeration date
08/08/2013
Last updated
08/08/2013
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