Individual
AMY JOY PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13 NORTH CIR, WINDSOR, CT 06095-2420
(860) 480-3884
Mailing address
13 NORTH CIR, WINDSOR, CT 06095-2420
(860) 480-3884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010117
CT
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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