Individual
MS. JAMELAH THERESA STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 MONTOWESE ST, BRANFORD, CT 06405-3807
(203) 535-6771
(888) 550-6771
Mailing address
119 MONTOWESE ST, BRANFORD, CT 06405-3807
(203) 535-6771
(888) 550-6771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006074
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006074
CT STATE LICENSE
CT
05
—
0080492591
—
CT
01
—
11707579
CAQH
—
01
—
140006074CT01
ANTHEM
CT
Enumeration date
03/29/2006
Last updated
05/01/2024
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