Individual
MRS. JENNIFER M HAGELSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
79 TRUMBULL ST, NEW HAVEN, CT 06511-3708
(203) 562-0142
Mailing address
79 TRUMBULL ST, NEW HAVEN, CT 06511-3708
(203) 562-0142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005862
CT
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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