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Individual

JAMIE MASCOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
25 ALMA AVE APT A, WOLCOTT, CT 06716-3319
(203) 598-2423
Mailing address
25 ALMA AVE APT A, WOLCOTT, CT 06716-3319

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15306
CT

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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