Individual
JERILYN CELENTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008236
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008236
LICENSE
CT
Enumeration date
08/28/2014
Last updated
03/05/2024
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