Individual
JEWEL CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NORMAN ST, BRIDGEPORT, CT 06604-1820
(203) 908-2047
Mailing address
1400 NORMAN ST, BRIDGEPORT, CT 06604-1820
(203) 908-2047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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