Individual
JACQUELINE VACCARI KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7B LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 456-0038
(860) 456-8765
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2016
Last updated
11/22/2021
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