Individual
MR. JASON ELIJAH SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1057 BROAD ST FL 3, BRIDGEPORT, CT 06604-4219
(203) 996-2661
(203) 336-6525
Mailing address
PO BOX 84, BRIDGEPORT, CT 06601-0084
(203) 996-2661
(203) 336-6525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7106
CT
Other
Enumeration date
09/08/2009
Last updated
03/17/2018
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