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Individual

DR. JENNIFER ANNE ANDRADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
80 GARDEN ST, WETHERSFIELD, CT 06109-3120
(860) 836-5490
(860) 529-7820
Mailing address
24 TUNXIS RD, NEWINGTON, CT 06111-3441
(860) 436-2036

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002634
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060002634CT01
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
08/25/2006
Last updated
07/08/2007
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