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Contact Information

MARIE D LISIESKI, LCSW
2400 MAIN STREET
BRIDGEPORT, CT06606
 Phone: 203-362-3932
 Fax: 203-362-2463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARIE D LISIESKI · (Female)

NPI # 1861867442
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 12/08/2015
Last updated 12/08/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 009261
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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