Individual
MRS. JAMIE NICHOLE NEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
99 ELM ST, NORTH HAVEN, CT 06473-2509
(203) 400-8199
Mailing address
99 ELM ST, NORTH HAVEN, CT 06473-2509
(203) 400-8199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10567
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
10/05/2017
Last updated
08/11/2022
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