Individual
GINA AMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MEADOWLAWN RD, STRATFORD, CT 06614-1522
(203) 414-1059
Mailing address
4 RESEARCH DR STE 402, SHELTON, CT 06484-6242
(203) 951-1393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
011710
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011710
LICENSE CLINICAL SOCIAL WORKER
CT
Enumeration date
09/09/2021
Last updated
04/17/2023
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