Individual
KATINA LOUISE GEORGOPULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(475) 450-4630
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(475) 450-4630
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6792
CT
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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