Individual
ANDREA SERVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
255 DAYTON RD, BRIDGEPORT, CT 06606-3116
(203) 998-8679
Mailing address
255 DAYTON RD, BRIDGEPORT, CT 06606-3116
(203) 998-8679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
118320
NY
104100000X
Social Worker
Primary
5198
CT
1041C0700X
Clinical Social Worker
58.012571
CT
1041S0200X
School Social Worker
4204268615
CT
Other
Enumeration date
04/09/2020
Last updated
03/27/2023
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