Individual
ANDREW FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
19 ELM ST, VERNON, CT 06066-3207
(860) 872-1918
Mailing address
19 ELM ST, VERNON, CT 06066-3207
(860) 872-1918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5388
CT
1041C0700X
Clinical Social Worker
5388
CT
Other
Enumeration date
07/19/2021
Last updated
08/05/2022
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