Individual
JENNIFER WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 574-3201
(203) 574-3201
Mailing address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 574-3201
(203) 574-3201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CT
—
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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