Individual
NIELVIS JUDITH GONZALEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
350 CENTER ROCK GRN STE 10D, OXFORD, CT 06478-3170
(203) 450-9655
Mailing address
73 ASHLEY ST, BRIDGEPORT, CT 06610-1616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8049
CT
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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