Organization
JESSICA CHAMPAGNE LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA CHAMPAGNE LCSW (PSYCHOTHERAPIST)
(203) 543-3307
Entity
Organization
Contact information
Practice address
12 WILSON DR, OXFORD, CT 06478-1422
(860) 468-9088
Mailing address
12 WILSON DR, OXFORD, CT 06478-1422
(860) 468-9088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9924
CT
Other
Enumeration date
07/31/2018
Last updated
02/19/2021
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