Individual
JENNA ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 POST RD E, WESTPORT, CT 06880-5236
(203) 828-0868
Mailing address
112 STRAWBERRY HILL AVE APT C, STAMFORD, CT 06902-2533
(203) 917-9078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12117
CT
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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