Individual
CRYSTAL GANAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
(203) 579-7302
Mailing address
48 PIERCE AVE, BRIDGEPORT, CT 06604-1607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008031
CT
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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