Individual
JARED MICHAEL MEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 SANFORD LN, STAMFORD, CT 06905-2820
(917) 740-2431
Mailing address
64 SANFORD LN, STAMFORD, CT 06905-2820
(917) 740-2431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9764
CT
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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