| Jeanne E. Phung, Lcsw, Llc | |
|
30 Controls Dr Suite 10 Shelton CT 06484-6157 | |
| (203) 525-8280 | |
| Not Available |
| Full Name | Jeanne E. Phung, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30 Controls Dr, Shelton, Connecticut |
| Authorized Official Name and Position | Jeanne E. Phung (LCSW/PRIVATE PRACTICE OWNER) |
| Authorized Official Contact | 2035258280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne E. Phung, Lcsw, Llc 30 Controls Dr Suite 10 Shelton CT 06484-6157 Ph: (203) 525-8280 | Jeanne E. Phung, Lcsw, Llc 30 Controls Dr Suite 10 Shelton CT 06484-6157 Ph: (203) 525-8280 |
| NPI Number | 1871946673 |
|---|---|
| Provider Enumeration Date | 07/16/2016 |
| Last Update Date | 07/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871946673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009069 (Connecticut) | Primary |
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