Individual
JESSICA BOSAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 KENOSIA AVE STE 301, DANBURY, CT 06810-7360
(203) 797-9778
Mailing address
141 E MAIN ST FL 4, WATERBURY, CT 06702-2310
(203) 574-0009
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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