Individual
MR. JONATHAN ADAM SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
180 FAIRFIELD AVE, CHILD GUIDANCE CENTER, BRIDEGPORT, CT 06604
(203) 394-6529
Mailing address
205 BEAUMONT ST, FAIRFIELD, CT 06824-5746
(203) 255-7060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
050572-1
NY
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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