Individual
MR. JASON A SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
7 VAUXHALL ST, NEW LONDON, CT 06320
(860) 442-2797
(860) 701-3776
Mailing address
797 HOPEVILLE RD, GRISWOLD, CT 06351
(860) 376-5526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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