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
Phone: (203) 573-6525
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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