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Individual

JEAN M CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
540 LITCHFILED STREET, C/O IRENE BENZA, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6389
Mailing address
540 LITCHFILED STREET, C/O IRENE BENZA, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6389

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006865
CT

Other

Enumeration date
01/31/2008
Last updated
10/18/2011
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