Individual
MR. JEFFREY PAUL KEREKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW, LCSW
Contact information
Practice address
93 LYON ST, NEW HAVEN, CT 06511-4925
(203) 676-0880
Mailing address
93 LYON ST, NEW HAVEN, CT 06511-4925
(203) 676-0880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005553
CT
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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