Individual
JILIAN MARIE MULQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5861
(203) 909-2303
Mailing address
201 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5861
(203) 909-2303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11011
CT
1041C0700X
Clinical Social Worker
ISW03085
RI
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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