Individual
JOCELYN ROSE THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 N MAIN ST STE 10, WEST HARTFORD, CT 06107-1974
(860) 383-7090
Mailing address
15 N MAIN ST STE 10, WEST HARTFORD, CT 06107-1974
(860) 383-7090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10386
CT
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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