Jacqueline T Whitehead LCSW

NPI 1326193921 - Social Worker - 1041C0700X

NPI Details
NPI 1326193921
Gender Female
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
43 EAGLE HOLLOW DR.
MIDDLETOWN CT, 06457, US
Phone (860) 559-3904
Fax
Business Location
43 EAGLE HOLLOW DR.
MIDDLETOWN CT, 06457, US
Phone (860) 559-3904
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number CT004243
Remove 1326193921 NPI Number
 

According to our database, Mrs. Jacqueline T Whitehead LCSW NPI is 1326193921, taxonomy code is 1041C0700X and license number is CT004243, license state is located at Connecticut. Jacqueline T Whitehead LCSW physically located at 43 Eagle Hollow Dr., Middletown CT, 06457. NPI Number Jacqueline T Whitehead LCSW has the Individual type.

Sponsored links

1326193921 NPI number is provided on an as is basis without warranty of any kind. 1326193921 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline T Whitehead LCSW are for informational purposes only.