| Jennifer Lawlor Llc | |
|
1 Grand St Bethel CT 06801-2111 | |
| (203) 628-2379 | |
| Not Available |
| Full Name | Jennifer Lawlor Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Grand St, Bethel, Connecticut |
| Authorized Official Name and Position | Jennife Lawlor (OWNER) |
| Authorized Official Contact | 2036282379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lawlor Llc 1 Grand St Bethel CT 06801-2111 Ph: () - | Jennifer Lawlor Llc 1 Grand St Bethel CT 06801-2111 Ph: (203) 628-2379 |
| NPI Number | 1366957284 |
|---|---|
| Provider Enumeration Date | 12/14/2017 |
| Last Update Date | 12/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366957284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 005796 (Connecticut) | Primary |
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