Individual
JENNIFER VESSICCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2348 WHITNEY AVE, HAMDEN, CT 06518-3512
(203) 671-1573
Mailing address
5 ASCOLI DR, WALLINGFORD, CT 06492-3265
(203) 671-1573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0105685
CT
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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