Individual
JESTON ANNE SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
660 PROSPECT AVE, HARTFORD, CT 06105-4230
(860) 729-3284
Mailing address
169 LYNNWOOD DR, LONGMEADOW, MA 01106-2013
(413) 454-7647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010115
CT
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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