Organization
JENNIFER LAWLOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFE LAWLOR LCSW (OWNER)
(203) 628-2379
Entity
Organization
Contact information
Practice address
1 GRAND ST, BETHEL, CT 06801-2111
(203) 628-2379
Mailing address
1 GRAND ST, BETHEL, CT 06801-2111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
005796
CT
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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