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JENNIFER REBECCA BRANT LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1417329954

Individual Registrant:
 JENNIFER REBECCA BRANT LCSW
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: --

Contact information for business:
5002 DURHAM RD  GUILFORD, CT 06437-3610 US
Tel: 203-804-5218  Fax: --

Registration Information:
NPI: 1417329954
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT009092

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LCSW LIC #009092CT01




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