Individual
MS. JESSICA GAUDIOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29 EAGLE CT, MERIDEN, CT 06450-7063
(203) 444-5205
Mailing address
29 EAGLE COURT, MERIDEN, CT 06450
(203) 444-5205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
12/11/2014
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