Individual
JESSICA REMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
322 EAST MAIN ST SUITE 1A, US RENAL CARE, BRANFORD, CT 06405
(203) 483-0710
Mailing address
322 E MAIN ST STE 1A, BRANFORD, CT 06405-3136
(203) 483-0710
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
122857-01
NY
1041C0700X
Clinical Social Worker
Primary
009652
CT
1041C0700X
Clinical Social Worker
LICSW128117
MA
Other
Enumeration date
05/10/2023
Last updated
11/12/2024
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