Individual
JAY ROBERT SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
(860) 533-3452
Mailing address
71 HAYNES ST, BH ADMINISTRATION DEPARTMENT, MANCHESTER, CT 06040-4131
(860) 533-3494
(860) 647-6831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005714
CT
Other
Enumeration date
03/25/2006
Last updated
10/06/2015
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