Individual
JENNA BOULETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 N FRONTAGE RD, MANSFIELD CENTER, CT 06250-1648
(860) 456-2261
(860) 430-1357
Mailing address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 774-2020
(860) 774-0826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13084
CT
Other
Enumeration date
08/16/2021
Last updated
03/05/2026
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