Individual
JACQUELIN MELISSA DUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1996 MAIN ST, BRIDGEPORT, CT 06604-2742
(929) 364-2774
Mailing address
1996 MAIN ST, BRIDGEPORT, CT 06604-2742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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