Individual
JENNINE JO SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 LIBERTY ST, APT. 3A, DANBURY, CT 06810-6782
(914) 373-9535
Mailing address
4 LIBERTY ST, APT. 3A, DANBURY, CT 06810-6782
(914) 373-9535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
96
CT
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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