Individual
MS. COURTNEY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-3431
(860) 358-3403
Mailing address
86 DOROTHY DR, MIDDLETOWN, CT 06457-5311
(860) 461-6259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009644
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009641041C0700X-LCSW
—
CT
Enumeration date
04/09/2014
Last updated
05/11/2017
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