Individual
MS. ELIZABETH DUTILLY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1558 BARNUM AVE, BRIDGEPORT, CT 06610-3238
(203) 384-3377
(203) 378-8578
Mailing address
1558 BARNUM AVE, BRIDGEPORT, CT 06610-3238
(203) 384-3377
(203) 378-8578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11637
CT
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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