Organization
JEANNE E. PHUNG, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE E. PHUNG LCSW (LCSW/PRIVATE PRACTICE OWNER)
(203) 525-8280
Entity
Organization
Contact information
Practice address
30 CONTROLS DR, SUITE 10, SHELTON, CT 06484-6157
(203) 525-8280
Mailing address
30 CONTROLS DR, SUITE 10, SHELTON, CT 06484-6157
(203) 525-8280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009069
CT
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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