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1104975937
JESSICA LYNNE BLANKENSHIP
BRISTOL, CT
NPI
1104975937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 007322)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2007-01-10
Last Update Date
2016-12-16
Business Address
Mrs. JESSICA LYNNE BLANKENSHIP LCSW
420 N MAIN ST
BRISTOL, CT 06010-4923
Phone number: 860-583-5858
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Mailing Address
Mrs. JESSICA LYNNE BLANKENSHIP LCSW
11 BOULDER RDG
SOUTHINGTON, CT 06489-1088
Phone number: 860-944-3207
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