Individual
MRS. FENTYSHIA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 332-3119
Mailing address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/03/2012
Last updated
03/08/2013
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