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Organization

JAIME BLISS GUILMETTE, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAIME BLISS GUILMETTE LCSW (OWNER)
(860) 798-4963
Entity
Organization

Contact information

Practice address
80 SHUNPIKE RD, SUITE 207, CROMWELL, CT 06416-4401
(860) 798-4963
(860) 852-5904
Mailing address
80 SHUNPIKE RD, SUITE 207, CROMWELL, CT 06416-4401
(860) 798-4963
(860) 852-5904

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006582
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004272316
CT
01
1346420452
NPI
CT
Enumeration date
09/20/2016
Last updated
09/20/2016
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