Mitrukiewicz, Jeannette Z

Mitrukiewicz, Jeannette Z is an individual health care provider with primary practice located at 88 Grandview Ave , Waterbury CT 06708-2509. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mitrukiewicz, Jeannette Z can be contacted via phone (203) 573-6525.

Contact Information

Primary practice address
88 Grandview Ave Waterbury CT 06708-2509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003656 Connecticut

Profile Details

NPI number 1912989468
LBN Legal business name Mitrukiewicz, Jeannette Z
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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