Individual
BENNYTA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7220
CT
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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