Individual
MRS. IRENE GINTARE IVASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2370 PARK AVE, BRIDGEPORT, CT 06604-1617
(203) 366-5438
(203) 366-1580
Mailing address
2370 PARK AVE, BRIDGEPORT, CT 06604-1617
(203) 366-5438
(203) 366-1580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004476
CT
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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