Vivyan Mari Bird
Social Worker, Clinical in New Britain, CT. Individual provider (NPI-1).
NPI number1245004530
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1245004530
- Entity type
- Individual (NPI-1)
- Name
- Vivyan Mari Bird
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2023
- Certification date
- Nov 8, 2023
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9066 | CT | Yes |
Practice location
35 Russell StNew Britain, CT 06052-1312
Phone 203-748-5869
Mailing address
75 West StDanbury, CT 06810-6528
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