Jodi Michelle Desautels
Social Worker, Clinical in New Britain, CT. Individual provider (NPI-1).
NPI number1932829017
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1932829017
- Entity type
- Individual (NPI-1)
- Name
- Jodi Michelle Desautels
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2022
- Certification date
- Aug 30, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 58.011532 | CT | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
100 Grand StNew Britain, CT 06052-2016
Phone 860-224-5267
Mailing address
100 Grand StNew Britain, CT 06052-2016
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