Individual
MS. JENNIFER ELIZABETH LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 224-6378
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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