Individual
MS. JENNIFER R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
271 SOUTH MAIN STREET, CHESHIRE, CT 06410
(203) 271-1430
Mailing address
446A BLAKE STREET, SUITE 100, NEW HAVEN, CT 06515
(203) 271-1430
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
005983
CT
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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