Organization
GBAPP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY FEUDO PHD (EXECUTIVE DIRECTOR)
(203) 366-8255
Entity
Organization
Contact information
Practice address
1470 BARNUM AVE, BRIDGEPORT, CT 06610-3237
(203) 366-8255
(203) 338-8453
Mailing address
1470 BARNUM AVE, BRIDGEPORT, CT 06610-3237
(203) 366-8255
(203) 338-8453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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