Individual
JAZMIN MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
208 VALLEY RD, NEW CANAAN, CT 06840-3812
(203) 801-2316
Mailing address
208 VALLEY RD, NEW CANAAN, CT 06840-3812
(203) 801-2316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
011227
CT
Other
Enumeration date
09/15/2017
Last updated
11/06/2020
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