Individual
JULIE RUTHANN RENFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3873
CT
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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