Individual
GIANCARLO BRAVO-LAGUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Mailing address
7 THEODORE RD, SHELTON, CT 06484-2510
(203) 360-1783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
03/19/2024
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