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Individual

LISA RENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
11 NATUREVIEW TRL, BETHEL, CT 06801-1431
(203) 731-4570
Mailing address
11 NATUREVIEW TRL, BETHEL, CT 06801-1431
(203) 731-4570

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
003052
CT

Other

Enumeration date
04/30/2017
Last updated
04/30/2017
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