Individual
JEAN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3718
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1868
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2013
Last updated
12/12/2016
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