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Individual

MS. JENNIFER MARIE FINEFROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
132 MAIN ST STE 2A, SOUTHINGTON, CT 06489-2561
(860) 276-4459
Mailing address
132 MAIN ST STE 2A, SOUTHINGTON, CT 06489-2561
(860) 276-4459
(203) 718-6002

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
006113
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
93-1651908
IRS
CT
Enumeration date
08/30/2011
Last updated
06/06/2023
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