Individual
JESSICA KLUEWER-DAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 TALCOTT NOTCH RD, FARMINGTON, CT 06030-6410
(860) 679-6700
(860) 679-3736
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-6700
(860) 679-6736
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
64634
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2017
Last updated
11/28/2022
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