Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 113953 | MA |
NPI | 1003027632 |
---|---|
Provider Name | Mrs. Jennifer Lynne Delaney |
First Address | Litchfield, CT 06759-2405 |
Second Address | Litchfield, CT 06759-2405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 04/01/2021 |