Individual
JESSICA L ST. LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-6985
(860) 456-6771
Mailing address
1290 SILAS DEANE HIGHWY, HHC-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006240
CT
Other
Enumeration date
05/05/2009
Last updated
07/21/2023
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