Individual
MISS DAWN KATHLEEN COLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 378-1654
(203) 380-9169
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 378-1654
(203) 380-9169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007449
CT
Other
Enumeration date
11/04/2014
Last updated
11/07/2014
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