Individual
JOANN AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 STORRS ROAD, SUITE # 3, MANSFIELD CENTER, CT 06250
(860) 423-6572
(860) 450-1352
Mailing address
PO BOX 128, MANSFIELD CENTER, CT 06250-0128
(860) 423-6572
(860) 450-1352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004968
CT
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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