| Connecticut Junior Republic Association Inc. | |
|
550 Goshen Road Litchfield CT 06759 | |
| (860) 567-9423 | |
| Not Available |
| Full Name | Connecticut Junior Republic Association Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 550 Goshen Road, Litchfield, Connecticut |
| Authorized Official Name and Position | Sean Edward Mullaney (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2038023280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Junior Republic Association Inc. 47 Douglas Road Bristol CT 06010 Ph: (860) 944-4369 | Connecticut Junior Republic Association Inc. 550 Goshen Road Litchfield CT 06759 Ph: (860) 567-9423 |
| NPI Number | 1205786274 |
|---|---|
| Provider Enumeration Date | 01/30/2026 |
| Last Update Date | 01/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205786274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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