MR. Mark William Jay, LCSW

NPI #1982663647 in Farmington, Connecticut

Provider Information

NPI Number
1982663647
Entity Type
Individual
Name
MR. Mark William Jay, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 21, 2006
Last Updated
Dec 17, 2007

Practice Location

Address
1031 FARMINGTON AVE
ZIP Code
06032
Phone
(860) 677-2550

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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