Individual
MRS. CHRISTINA MARIE GIACOBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 560-5596
(860) 626-7014
Mailing address
95 COUNTRY PLACE, SHELTON, CT 06484
(860) 208-0034
(860) 626-7014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007114
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037435
—
CT
Enumeration date
09/10/2010
Last updated
03/24/2014
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