Individual
MS. JEANNETTE Z MITRUKIEWICZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
88 GRANDVIEW AVE, WATERBURY, CT 06708-2509
(203) 573-6525
Mailing address
115 WAVERLY ST, WATERBURY, CT 06710-1022
(203) 755-9075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003656
CT
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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