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JENNIFER REBECCA BRANT LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1417329954
Individual Registrant: JENNIFER REBECCA BRANT LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
147 DURHAM RD SUITE 1 MADISON, CT 06443-2675 US
Tel: 203-804-5218 Fax: --
Tel: 203-804-5218 Fax: --
Contact information for business:
5002 DURHAM RD GUILFORD, CT 06437-3610 US
Tel: 203-804-5218 Fax: --
Tel: 203-804-5218 Fax: --
Registration Information:
NPI: 1417329954
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CT | 009092 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LCSW LIC # | 009092 | CT | 01 |
