Individual
MRS. DEBRA ANN MANTEGAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
22 EASTVIEW RD, NEW FAIRFIELD, CT 06812-2903
(203) 885-0505
Mailing address
22 EASTVIEW RD, NEW FAIRFIELD, CT 06812-2903
(203) 885-0505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095962-01
NY
Other
Enumeration date
03/18/2010
Last updated
02/15/2024
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