Individual
JASMINE VANESSA BUSTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
170 BENNETT ST, BRIDGEPORT, CT 06605-2901
(203) 330-6790
Mailing address
299 MERRITT ST, BRIDGEPORT, CT 06606-3434
(475) 243-9940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9392
CT
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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