Individual
JENNIFER BEVILACQUA GIEGENGACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-4705
Mailing address
98 HILLSIDE AVE, MILFORD, CT 06460-7809
(203) 623-5857
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC.000010
CT
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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