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Organization
LUIS JARAMILLO
Active
Organization
LUIS JARAMILLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS JARAMILLO (LCSW)
(860) 922-1219
Entity
Organization
Contact information
Practice address
1564 WATERBURY RD, CHESHIRE, CT 06410-1331
(860) 922-1219
Mailing address
1564 WATERBURY RD, CHESHIRE, CT 06410-1331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9210
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9210
LICENSED SOCIAL WORKER
CT
Enumeration date
09/01/2015
Last updated
09/01/2015
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