JYLL ROBIN HERZOG SOUTO

STRATFORD, CT
NPI1104830892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CT  104100000X-Social Wo)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- JYLL ROBIN HERZOG SOUTO LCSW
305 BOSTON AVE
STRATFORD, CT 06614-5246
Phone number: 203-384-3377
Mailing Address
-- JYLL ROBIN HERZOG SOUTO LCSW
305 BOSTON AVE
STRATFORD, CT 06614-5246
Phone number: 203-384-3377