Individual
JESSICA JEAN POLESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1552
(888) 793-3500
Mailing address
35 TOLLGATE LN, AVON, CT 06001-2334
(860) 418-7401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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