Individual
JERRY LEMANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
29 NORTH PLAINS HIGHWAY, UNIT 15, WALLINGFORD, CT 06492
(203) 234-7737
Mailing address
29 NORTH PLAINS HIGHWAY, UNIT 15, WALLINGFORD, CT 06492
(203) 234-7737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6976
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBHP007548
—
CT
Enumeration date
08/24/2018
Last updated
08/24/2018
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