Individual
JEAN LOUISE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 STATE ST, SUITE 200, NEW LONDON, CT 06320-6397
(860) 443-0036
(860) 439-6423
Mailing address
165 STATE ST, SUITE 200, NEW LONDON, CT 06320-6397
(860) 443-0036
(860) 439-6423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006692
CT
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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