Individual
JULIA BRAISTED PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 LANZ LN, ELLINGTON, CT 06029-2312
(203) 448-8402
Mailing address
30 LANZ LN, ELLINGTON, CT 06029-2312
(203) 448-8402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
10/28/2022
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