Individual
MARISSA TAYLOR DIIULIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 BENNETT ST, BRIDGEPORT, CT 06605-2901
(203) 877-0300
Mailing address
170 BENNETT ST, BRIDGEPORT, CT 06605-2901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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