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1083349880
JACOB JAMES CARPENTER
WETHERSFIELD, CT
NPI
1083349880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 14499)
Enumeration Date
2022-07-18
Last Update Date
2024-10-02
Business Address
JACOB JAMES CARPENTER MSW
77 CHARTER RD
WETHERSFIELD, CT 06109-4307
Phone number: 802-380-9473
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Mailing Address
JACOB JAMES CARPENTER MSW
77 CHARTER RD
WETHERSFIELD, CT 06109-4307
Phone number: 802-380-9473
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