Individual
JENNEL D FONTANELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MILL PLAIN RD, DANBURY, CT 06811-5178
(203) 558-1074
Mailing address
100 MILL PLAIN RD, DANBURY, CT 06811-5178
(203) 558-1074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11150
CT
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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