Individual
JOANNA FANUKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 GREENS FARMS RD, WESTPORT, CT 06880-6225
(203) 259-2388
Mailing address
283 GREENS FARMS RD, WESTPORT, CT 06880-6225
(203) 259-2388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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