MS. Heidi Lee Lively, L.C.S.W.

NPI #1174694202 in Woodbridge, Connecticut

Provider Information

NPI Number
1174694202
Entity Type
Individual
Name
MS. Heidi Lee Lively, L.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W.
Enumeration Date
Nov 12, 2006
Last Updated
Oct 31, 2023

Practice Location

Address
15 OSBORNE LN
ZIP Code
06525-1728
Phone
(207) 522-3676

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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