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Individual

CHRISTIANA TIEARA JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
304 W MAIN ST STE 2-1061, AVON, CT 06001-4355
(860) 327-4203
Mailing address
920 E MONUMENT ST, JACKSON, MS 39202-2860

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11005
CT

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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