Individual
MRS. JACQUELINE DREYFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004619
CT
1041C0700X
Clinical Social Worker
089108-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004619
LCSW LICENSE
CT
05
—
008046036
—
CT
01
—
089108-01
LCSW LICENSE
NY
Enumeration date
05/16/2007
Last updated
11/18/2020
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