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1457865099
JESSICA W. SORMRUDE
MYSTIC, CT
NPI
1457865099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 10935)
Enumeration Date
2017-11-17
Last Update Date
2020-11-03
Business Address
MS. JESSICA W. SORMRUDE MED, LCSW
11 MAIN ST STE 3G
MYSTIC, CT 06355-3654
Phone number: 860-889-8346
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Mailing Address
MS. JESSICA W. SORMRUDE MED, LCSW
11 MAIN ST STE 3G
MYSTIC, CT 06355-3654
Phone number:
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