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Organization

FAMILY AND CHILDREN AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA VIVENZIO LCSW (DIRECTOR)
(203) 523-5793
Entity
Organization

Contact information

Practice address
9 MOTT AVENUE, NORWALK, CT 06850
(203) 855-8765
Mailing address
9 MOTT AVE, NORWALK, CT 06850-3330

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/20/2023
Last updated
03/20/2023
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