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NPI Code Detail

MEDICARE: MS. JENNIFER KATE ZITSER LCSW

MEDICARE: MS. JENNIFER KATE ZITSER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker002955CT

General Provider Information

NPI Number : 1679787782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER KATE ZITSER LCSW
Provider Business Mailing Address
First Line : 275 MOUNT CARMEL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1961
Country : US
Telephone Number : 203-582-3658
Fax Number :
Provider Business Practice Location Address
First Line : 275 MOUNT CARMEL AVENUE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1908
Country : US
Telephone Number : 203-582-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 10/14/2013

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