Individual
LISA M STEFANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1734 CENTRAL AVE, BRIDGEPORT, CT 06610-2763
(203) 576-1382
(203) 579-9519
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 333-6864
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
003405
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003405
0003405
CT
Enumeration date
03/10/2009
Last updated
03/10/2009
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