Individual
ANNE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 ROB RIDER RD, REDDING, CT 06896-1303
(203) 241-8170
Mailing address
2 ROB RIDER RD, REDDING, CT 06896-1303
(203) 938-4965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4015
CT
1041C0700X
Clinical Social Worker
73029062
NY
1041S0200X
School Social Worker
C032012001897
CT
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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