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Individual

MS. MICHELE CHENEVERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT LCSW

Contact information

Practice address
200 W TOWN ST, NORWICH, CT 06360-2112
(860) 886-1508
(860) 889-4606
Mailing address
200 W TOWN ST, NORWICH, CT 06360-2112
(860) 886-1508
(860) 889-4606

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
006846
CT
1041C0700X
Clinical Social Worker
11991
ME
106H00000X
Marriage & Family Therapist
Primary
000789
CT

Other

Enumeration date
11/02/2006
Last updated
08/31/2009
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