Individual
JENNIFER A BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28 CRESCENT ST, MIDDLESEX HOSPITAL FAMILY ADVOCACY, MIDDLETOWN, CT 06457
(860) 358-3401
(860) 358-3403
Mailing address
28 CRESCENT ST, MIDDLESEX HOSPITAL FAMILY ADVOCACY, MIDDLETOWN, CT 06457
(860) 358-3401
(860) 358-3403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006611
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006611
LCSW LIC #
CT
Enumeration date
03/18/2008
Last updated
03/18/2008
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