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LAURA GERONEMUS LMSW

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

Registrant NPI Number: 1780225615

Individual Registrant:
 LAURA  GERONEMUS LMSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
116 MILE COMMON RD  EASTON, CT 06612-1506 US
Tel: 203-258-3259  Fax: --

Contact information for business:
15 GRIST MILL LN  WESTPORT, CT 06880-4008 US
Tel: --  Fax: --

Registration Information:
NPI: 1780225615
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
CT4451

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CT - Page 1



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