Organization
JENNIFER ROOT, LLC
Active
Organization
JENNIFER ROOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROOT LCSW (LICENSED CLINICAL SOCIAL WORKER)
(860) 993-7311
Entity
Organization
Contact information
Practice address
139 HAZARD AVE, BUILDING 2/UNIT 8, ENFIELD, CT 06082-4585
(860) 933-7311
Mailing address
4074 MOUNTAIN RD, WEST SUFFIELD, CT 06093-2118
(860) 993-7311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
008779
CT
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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