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Individual

MOISES ELIAS ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
655 PARK AVE, BRIDGEPORT, CT 06604-4611
(203) 818-9888
Mailing address
10 EAST AVE, NORWALK, CT 06851-3921
(203) 818-9888

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7253
CT

Other

Enumeration date
03/14/2024
Last updated
03/14/2024
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