Individual
JANICE M MAHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 FERRY BLVD STE 2, STRATFORD, CT 06615-6016
(203) 375-5782
(203) 375-3048
Mailing address
2505 MAIN ST STE 231, STRATFORD, CT 06615-5839
(203) 375-5782
(203) 375-3048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005474
CT
Other
Enumeration date
01/04/2007
Last updated
01/31/2017
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