Individual
JOSHUA AARON NEITLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2425 POST RD STE 103, SOUTHPORT, CT 06890-1267
(203) 993-7809
Mailing address
24 CENTERVIEW DR, SHELTON, CT 06484-2626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009994
CT
Other
Enumeration date
11/11/2017
Last updated
05/26/2022
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