Provider Demographics
NPI:1114283595
Name:VU, KIMANH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KIMANH
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-2934
Mailing Address - Country:US
Mailing Address - Phone:203-468-3297
Mailing Address - Fax:203-468-3334
Practice Address - Street 1:595 THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-2934
Practice Address - Country:US
Practice Address - Phone:203-468-3297
Practice Address - Fax:203-468-3334
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0079261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical