Most Relevant Information
Provider Data
| NPI Number: | 1003364225 |
| Provider Name: | KRISTEN BERNIER VAVREK LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 009558 |
Most Important Dates
| Enumeration Date: | 09/16/2016 |
| Last Updated: | 10/13/2020 |
Provider Practice Location
49 BROAD ST
PLAINVILLE
CT
060624201
Practice Location Phone/Fax
| Phone: | 7205307186 |
| Fax: |
Provider Mailing Location
160 PINNACLE RD
BRISTOL
CT
060102219
Provider Mailing Phone/Fax
| Phone: | 7205307186 |
| Fax: |