Individual
MRS. JESSICA L PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7074
(860) 450-0763
Mailing address
483 W MIDDLE TPKE, SUITE 217, MANCHESTER, CT 06040-3863
(860) 647-0899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006083
CT
Other
Enumeration date
12/05/2011
Last updated
06/10/2014
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