Organization
MY SISTERS KEEPER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY DENISE WASHINGTON (OWNER)
(203) 615-4107
Entity
Organization
Contact information
Practice address
1000 LAFAYETTE BLVD STE 1100, BRIDGEPORT, CT 06604-4710
(203) 615-4107
Mailing address
1000 LAFAYETTE BLVD STE 1100, BRIDGEPORT, CT 06604-4710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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