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Individual

MISS JAMIE MARIE AVALLONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
30 ELIZABETH ST, DERBY, CT 06418-1869
(203) 954-0543
Mailing address
133 HEATHERWOOD DR, BROOKFIELD, CT 06804-3960

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW
CT
1041C0700X
Clinical Social Worker
Primary
13795
CT

Other

Enumeration date
06/22/2020
Last updated
11/22/2024
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