Organization
BOLD COUNSEL
Active
Other names
Bravely Obsessed with Living Daily Counsel
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MICHELE SINCLAIR LCSW (LICENSED CLINICAL SOCIAL WORKER)
(203) 232-8596
Entity
Organization
Contact information
Practice address
27 VISCONTI AVE, WATERBURY, CT 06704-3833
(203) 707-0039
Mailing address
27 VISCONTI AVE, WATERBURY, CT 06704-3833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006710
CT
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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