Individual
MS. ANNE MARIE MAIRE LOPRESTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4239
(203) 394-6529
(203) 395-6534
Mailing address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610
(203) 394-6529
(203) 395-6534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
007111
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039251
—
CT
Enumeration date
07/25/2007
Last updated
03/21/2014
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