MR. KENNETH LACILLA, MSW

Social Worker - Clinical

Active Individual
NPI: 1063627149

Practice Address

476 HOWE AVE
SUITE 4
Shelton, CT 06484

Phone: (203) 924-9426

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 004908 (CT)

Frequently Asked Questions

NPI 1063627149 is the National Provider Identifier for MR. KENNETH LACILLA, MSW, a Social Worker - Clinical provider located in Shelton, CT. This NPI was enumerated on May 11, 2007.
MR. KENNETH LACILLA, MSW practices at 476 HOWE AVE, SUITE 4, Shelton, CT 06484.

Quick Facts

NPI
1063627149
Type
Individual
Enumerated
May 11, 2007
Last Updated
Jul 8, 2007

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