Individual
JALYN M DESUNAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-7173
Mailing address
390 CHARLES ST APT 218, BRIDGEPORT, CT 06606-5677
(203) 974-7632
(203) 974-7173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004182
CT
Other
Enumeration date
11/14/2006
Last updated
02/21/2008
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