Individual
JESSICA WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
54 FOREST ST, HARTFORD, CT 06105-3204
(860) 249-0975
Mailing address
54 FOREST ST, HARTFORD, CT 06105-3204
(860) 878-0376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6617
CT
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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