Individual
JONATHAN M SPODICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
762 POST RD, DARIEN, CT 06820-4719
(203) 688-9855
Mailing address
762 POST RD, DARIEN, CT 06820-4719
(203) 688-9855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006200
CT
Other
Enumeration date
09/25/2006
Last updated
07/16/2013
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