Virginia Lyon LCSW

NPI 1033455365 - Social Worker - 1041C0700X

NPI Details
NPI 1033455365
Gender Female
Enumeration Date 12/13/2012
Last Updated 03/10/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
40 MANSFIELD AVE
WILLIMANTIC CT, 06226-2018, US
Phone (860) 450-0585
Fax (860) 450-0763
Business Location
45 FALL BROOK RD
DANIELSON CT, 06239-3709, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 8252
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According to our database, Virginia Lyon LCSW NPI is 1033455365, taxonomy code is 1041C0700X and license number is 8252, license state is located at Connecticut. Virginia Lyon LCSW physically located at 40 Mansfield Ave, Willimantic CT, 06226-2018. NPI Number Virginia Lyon LCSW has the Individual type.

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1033455365 NPI number is provided on an as is basis without warranty of any kind. 1033455365 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Lyon LCSW are for informational purposes only.