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Individual

JILLIAN ALEXANDRIA TUSCHHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
62 GRANT STREET, GRANT STREET PARTNERSHIP, NEW HAVEN, CT 06519-3456
(203) 503-3350
(203) 503-3370
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3376
(203) 503-3370

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10842
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004235918
CT
Enumeration date
08/31/2017
Last updated
11/05/2019
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