MRS. Jennifer Theriault, LCSW

NPI #1316302722 in Weston, Connecticut

Provider Information

NPI Number
1316302722
Entity Type
Individual
Name
MRS. Jennifer Theriault, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 30, 2015
Last Updated
Dec 30, 2015

Practice Location

Address
21 TRAILS END RD
City
Weston
ZIP Code
06883-1236
Phone
(917) 532-1944

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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