Individual
JACQUELINE FOOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Mailing address
119 CONSTITUTION ST, WALLINGFORD, CT 06492-3824
(203) 269-6728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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