Individual
SAMANTHA LIIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7541
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5300
CT
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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