Individual
AMANDA FAE D'ALESSANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2400 MAIN ST, BRIDGEPORT, CT 06606-5323
(475) 210-4413
Mailing address
2400 MAIN ST, BRIDGEPORT, CT 06606-5323
(203) 362-3900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8179
CT
Other
Enumeration date
08/14/2017
Last updated
09/19/2017
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