Individual
DONNA VANDERPOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
LIFEBRIDGE COMMUNITY SERVICES, 475 CLINTON AVE, BRIDGEPORT, CT 06606
(203) 368-4291
Mailing address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-4291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6917
CT
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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