Individual
DR. DAMMY BAMISILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
61 BRIDGEPORT AVE STE 2, SHELTON, CT 06484-3285
(203) 520-3620
Mailing address
101 BURRITT AVE, STRATFORD, CT 06615-5657
(203) 380-1139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006576
CT
Other
Enumeration date
01/30/2008
Last updated
01/13/2022
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