Individual
JEANNINE CLEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 ROOSEVELT AVE, MYSTIC, CT 06355-2809
(602) 459-8408
Mailing address
12 ROOSEVELT AVE # MAILBOX5, MYSTIC, CT 06355-2809
(602) 459-8408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
10396
CT
Other
Enumeration date
07/07/2016
Last updated
09/27/2024
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