Individual
FREDERICK LEE STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006946
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235942
—
CT
Enumeration date
12/12/2006
Last updated
05/06/2009
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