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Individual

MISS JACQUELINE MOFFATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
50 FITCH ST, NEW HAVEN, CT 06515-1366
(857) 930-6049
(203) 601-9627
Mailing address
50 FITCH ST, NEW HAVEN, CT 06515-1366
(857) 930-6049
(203) 601-9627

Taxonomy

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

Other

Enumeration date
01/05/2023
Last updated
01/05/2023
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