Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 006710 | CT |
NPI | 1003142993 |
---|---|
Provider Name | Miss Jennifer Michele Sinclair |
First Address | Waterbury, CT 06704-3833 |
Second Address | Waterbury, CT 06704-3833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2009 |
Last Update Date | 25/01/2017 |