| Name | URBAN LINDA JIVIDEN |
|---|---|
| Address | BLOOMFIELDCT |
| Profession | LICENSED CLINICAL SOCIAL WORK |
| License No | 027272 |
| Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron12/31/81) |
| Additional Qualification | P -3-year psychotherapy privilege |
| Status | NOT REGISTERED |
| Registered through last day of |