Individual
JACQUESE CHAUNTEE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(561) 473-9615
Mailing address
PO BOX 201946, NEW HAVEN, CT 06520-1946
(203) 619-3161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9326
CT
Other
Enumeration date
01/22/2024
Last updated
04/02/2024
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