Individual
MS. JESSICA M. MADDERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1558 BARNUM AVENUE, BUILDING C, BRIDGEPORT, CT 06610
(203) 384-3377
Mailing address
1558 BARNUM AVENUE, BUILDING C, BRIDGEPORT, CT 06610
(203) 384-3377
(203) 378-8578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008033
CT
2084P0800X
Psychiatry Physician
008033
CT
2084P0804X
Child & Adolescent Psychiatry Physician
008033
CT
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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