Kenneth Michael Lacilla, MSW Valid NPI

Individual provider · Clinical Social Worker · Shelton, CT

NPI

1063627149

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

004908 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-11

Last updated

2007-07-08