Lymes' Youth Service Bureau

NPI #1336492404 in Old Lyme, Connecticut

Provider Information

NPI Number: 1336492404
Entity Type: Organization
Organization Name: Lymes' Youth Service Bureau
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 26, 2012
Last Updated: Oct 26, 2012

Practice Location

Address: 59 LYME ST
City: Old Lyme
State: Connecticut
ZIP Code: 06371-2359
Phone: (860) 434-7208

Authorized Official

Name: MRS. MARY VARISCO SEIDNER
Title: DIRECTOR
Phone: (860) 434-7208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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