# JESSICA GRZYWINSKI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780182162
- **Authorized official:** MRS. JESSICA L GRZYWINSKI LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (978) 807-9922

## Contact information

- **Practice address:** 435 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3720
- **Practice address phone:** (978) 807-9922
- **Practice address fax:** (978) 807-9922
- **Mailing address:** 805 SWAMP RD, COVENTRY, CT 06238-1440
- **Mailing address phone:** (978) 807-9922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1962 | CT | Yes |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 01/31/2018