Individual
JILLIAN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
57 HOLMES AVE, WATERBURY, CT 06710-2414
(203) 558-9865
(203) 841-1122
Mailing address
17 CHARLES RD, SEYMOUR, CT 06483-3809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008441
CT
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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