Individual
CAROLYN E JANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
49 WELLES ST, SUITE 203, GLASTONBURY, CT 06033-4205
(860) 652-0428
(860) 652-0081
Mailing address
92 MAIN ST, UNIT 205, DEEP RIVER, CT 06417-1800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006739
CT
Other
Enumeration date
11/11/2009
Last updated
10/28/2019
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