Individual
HEATHER LYNN VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1007 NORTH MAIN STREET, DAYVILLE, CT 06241-0839
(860) 456-2261
(860) 450-1357
Mailing address
239 PARISH HILL RD, NORTH WINDHAM, CT 06256-2023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006159
CT
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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