Jonathan Adam Spears LCSW

NPI 1346412996 - Social Worker - 1041C0700X

NPI Details
NPI 1346412996
Gender Male
Enumeration Date 03/24/2008
Last Updated 03/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
180 FAIRFIELD AVE
CHILD GUIDANCE CENTER
BRIDEGPORT CT, 06604, US
Phone (203) 394-6529
Fax
Business Location
205 BEAUMONT ST
FAIRFIELD CT, 06824-5746, US
Phone (203) 255-7060
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 050572-1
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According to our database, Mr. Jonathan Adam Spears LCSW NPI is 1346412996, taxonomy code is 1041C0700X and license number is 050572-1, license state is located at New York. Jonathan Adam Spears LCSW physically located at 180 Fairfield Ave, Bridegport CT, 06604. NPI Number Jonathan Adam Spears LCSW has the Individual type.

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1346412996 NPI number is provided on an as is basis without warranty of any kind. 1346412996 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Adam Spears LCSW are for informational purposes only.