Individual
MS. JANE B CORWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 S MAIN ST, SUITE 4, BRANFORD, CT 06405-3872
(203) 481-1031
Mailing address
1 S MAIN ST, SUITE 4, BRANFORD, CT 06405-3872
(203) 481-1031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004174
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11241763
C.A.Q.H. ID NUMBER
CT
01
—
197483
M.H.N. IND. ID NUMBER
CT
Enumeration date
07/11/2006
Last updated
07/08/2007
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