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Contact Information

MARISSA BROUILLARD
313 MAIN ST
NORWICH, CT06360-5835
 Phone: 860-447-1717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MARISSA BROUILLARD · (Female)

NPI Number 1689554024
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2025
Last updated 09/05/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 11601
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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