Individual
NA'TASHA PATISHA MESIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-5547
Mailing address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-5547
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7872
CT
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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