Lacy Kornilieff, LCSW
NPI #1740755750 in Willimantic, Connecticut
Provider Information
- NPI Number
- 1740755750
- Entity Type
- Individual
- Name
- Lacy Kornilieff, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 5, 2018
- Last Updated
- Oct 5, 2018
Practice Location
- Address
- 40 MANSFIELD AVE
- City
- Willimantic
- State
- Connecticut
- ZIP Code
- 06226-2018
- Phone
- (860) 450-0585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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