Individual
JESSICA SANDRA MORNEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
85 FELT RD STE 605, SOUTH WINDSOR, CT 06074-3871
(860) 539-5628
Mailing address
503 REMINGTON ST STE 201, FORT COLLINS, CO 80524-3089
(970) 541-4472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009922371
CO
1041C0700X
Clinical Social Worker
09926860
CO
1041C0700X
Clinical Social Worker
Primary
11413
CT
Other
Enumeration date
05/07/2019
Last updated
04/05/2021
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