Individual
MS. JUDITH A MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
246 FEDERAL RD., SUITE C23, BROOKFIELD, CT 06804
(203) 240-1450
Mailing address
2 OLD FOREST RD, SHERMAN, CT 06784-2136
(203) 240-1450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007571
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057243
—
CT
01
—
12349349
CAQH
CT
01
—
549395
MHN MANAGED HEALTH NETWORK
CT
Enumeration date
03/13/2012
Last updated
09/02/2016
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