Individual
JEFFREY SCHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
592 PINE ST, BRISTOL, CT 06010-6921
(518) 424-2069
Mailing address
592 PINE ST, BRISTOL, CT 06010-6921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
012682
CT
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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