Souto, Jyll Robin Herzog
Souto, Jyll Robin Herzog is an individual health care provider with primary practice located at 305 Boston Ave , Stratford CT 06614-5246. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Souto, Jyll Robin Herzog can be contacted via phone (203) 384-3377.Contact Information
Primary practice address
305 Boston Ave
Stratford CT 06614-5246
Phone: (203) 384-3377
Fax: (203) 378-8578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 104100000X-SOCIAL WO | Connecticut |
Profile Details
| NPI number | 1104830892 |
|---|---|
| LBN Legal business name | Souto, Jyll Robin Herzog |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| 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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