Individual
JOLENE PISCETELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Mailing address
809 SUMMER HILL DR, SOUTH WINDSOR, CT 06074-2851
(860) 432-5689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005966
CT
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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