Individual
MRS. CHANNE FODEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 HILLSPOINT ROAD, WESTPORT, CT 06880-4536
(203) 226-3411
Mailing address
12 HILLSPOINT ROAD, WESTPORT, CT 06880-4536
(203) 226-3411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001072
CT
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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