Individual
MS. JEANNE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
769 NEWFIELD ST, SUITE ONE, MIDDLETOWN, CT 06457-1846
(860) 346-1623
Mailing address
769 NEWFIELD ST, SUITE ONE, MIDDLETOWN, CT 06457-1846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001624
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001624
SOCIAL WORK LICENSE
CT
Enumeration date
10/23/2006
Last updated
07/08/2007
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