Individual
JEAN-LUC POULARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6 LEDGEBROOK DR, C, MANSFIELD, CT 06250
(860) 833-2657
Mailing address
6 LEDGEBROOK DR STE C, MANSFIELD CENTER, CT 06250-1644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7743
CT
1041C0700X
Clinical Social Worker
Primary
7743
CT
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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