Individual
JESSICA MARIE NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 STATE ST, NEW HAVEN, CT 06511-3926
(203) 551-0035
Mailing address
83 BRIDGE ST UNIT 381, SHELTON, CT 06484-7818
(203) 551-0035
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4953
CT
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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