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Contact Information

JEAN LUC POULARD, LMSW
6 LEDGEBROOK DR
C
MANSFIELD, CT06250
 Phone: 860-833-2657
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JEAN LUC POULARD · (Male)

NPI Number 1205642790
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 12/09/2024
Last updated 12/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 7743
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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