Individual
MR. JOSE A OLMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW LICENSED CLINIC
Contact information
Practice address
1057 BROAD ST, BRIDGEPORT, CT 06604
(203) 336-3661
(203) 336-6525
Mailing address
1057 BROAD ST, BRIDGEPORT, CT 06604
(203) 336-3661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001862
CT
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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