Richard Povilaitis, LCSW

NPI #1932314903 in Middlebury, Connecticut

Provider Information

NPI Number: 1932314903
Entity Type: Individual
Name: Richard Povilaitis, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 12 WOODSIDE AVE
City: Middlebury
State: Connecticut
ZIP Code: 06762-2822
Phone: (203) 598-0552

Specialties & Taxonomy Codes

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

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