Individual
JESSICA LYNN BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
855 LAKEWOOD RD, WATERBURY, CT 06704-5408
(860) 793-4641
Mailing address
855 LAKEWOOD RD, WATERBURY, CT 06704-5408
(860) 793-4641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11328
CT
Other
Enumeration date
08/06/2025
Last updated
08/07/2025
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