Individual
JACQUELINE GIM YEU LASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 N MAIN ST STE 203, BRISTOL, CT 06010-4993
(860) 506-7905
Mailing address
225 N MAIN ST STE 203, BRISTOL, CT 06010-4993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12189
CT
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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