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Individual

CASEY BANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4867
CT

Other

Enumeration date
12/06/2021
Last updated
12/06/2021
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