Individual
JESSICA CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 WILSON DR, OXFORD, CT 06478-1422
(203) 543-3307
Mailing address
12 WILSON DR, OXFORD, CT 06478-1422
(860) 468-9088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
092083-1
NY
104100000X
Social Worker
Primary
1836
CT
Other
Enumeration date
07/03/2014
Last updated
02/19/2021
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