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Individual

MR. DAVID G OSTROM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
22 PARK AVE, SHELTON, CT 06484
(203) 800-5987
Mailing address
22 PARK AVE, SHELTON, CT 06484-5931
(203) 800-5987

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007348
CT

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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