Laurie Bowman Mucciacciaro LCSW

NPI 1760805808 - Social Worker - 1041C0700X

NPI Details
NPI 1760805808
Gender Female
Enumeration Date 01/24/2014
Last Updated 01/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
152 SIMSBURY RD
BUILDING 9, 2ND FLOOR
AVON CT, 06001-3777, US
Phone (860) 269-3101
Fax (860) 269-3102
Business Location
152 SIMSBURY RD
BUILDING 9, 2ND FLOOR
AVON CT, 06001-3777, US
Phone (860) 269-3101
Fax (860) 269-3102
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 007651
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According to our database, Laurie Bowman Mucciacciaro LCSW NPI is 1760805808, taxonomy code is 1041C0700X and license number is 007651, license state is located at Connecticut. Laurie Bowman Mucciacciaro LCSW physically located at 152 Simsbury Rd, Avon CT, 06001-3777. NPI Number Laurie Bowman Mucciacciaro LCSW has the Individual type.

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1760805808 NPI number is provided on an as is basis without warranty of any kind. 1760805808 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Bowman Mucciacciaro LCSW are for informational purposes only.