Most Relevant Information
Provider Data
| NPI Number: | 1003319591 |
| Provider Name: | JENNIFER VAZQUEZ LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 013431 |
Most Important Dates
| Enumeration Date: | 03/12/2018 |
| Last Updated: | 02/24/2024 |
Provider Practice Location
11 HOTCHKISS TER
ANSONIA
CT
064011353
Practice Location Phone/Fax
| Phone: | 4756750906 |
| Fax: |
Provider Mailing Location
11 HOTCHKISS TER
ANSONIA
CT
064011353
Provider Mailing Phone/Fax
| Phone: | 2035264476 |
| Fax: |