Individual
MS. JILL STOCKMAL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
75 GRANITE ST, NEW LONDON, CT 06320-5730
(860) 437-4550
(860) 437-4552
Mailing address
84 CAMP BETHEL RD, HADDAM, CT 06438-1346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
07/10/2008
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