Individual
JACQUELINE A ROSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 KARA DR, WATERBURY, CT 06704-1573
(203) 260-8463
Mailing address
PO BOX 4213, WATERBURY, CT 06704-0213
(203) 260-8463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11040
CT
Other
Enumeration date
08/12/2020
Last updated
08/21/2020
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