Individual
JESSICA BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
440 N MAIN ST STE C, BRISTOL, CT 06010-1902
(860) 583-5858
Mailing address
440 N MAIN ST STE C, BRISTOL, CT 06010-1902
(860) 583-5858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005193
CT
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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