Individual
JENNIFER STAEHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
276 S MAIN ST, COLCHESTER, CT 06415-2952
(860) 575-9891
Mailing address
229 TOWN ST, EAST HADDAM, CT 06423-1425
(860) 575-9891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5480
CT
Other
Enumeration date
01/02/2015
Last updated
01/30/2019
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