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Individual
MRS. JENNIFER LYNN DEWITT
Active
Individual
MRS. JENNIFER LYNN DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LMFT, CAC, CPS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001150
CT
106H00000X
Marriage & Family Therapist
Primary
001937
CT
405300000X
Prevention Professional
CPS-3902
CT
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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