Jose A Olmo LCSW LICENSED CLINIC

NPI 1346338779 - Social Worker - 1041C0700X

NPI Details
NPI 1346338779
Gender Male
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1057 BROAD ST
BRIDGEPORT CT, 06604, US
Phone (203) 336-3661
Fax (203) 336-6525
Business Location
1057 BROAD ST
BRIDGEPORT CT, 06604, US
Phone (203) 336-3661
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 001862
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According to our database, Mr. Jose A Olmo LCSW LICENSED CLINIC NPI is 1346338779, taxonomy code is 1041C0700X and license number is 001862, license state is located at Connecticut. Jose A Olmo LCSW LICENSED CLINIC physically located at 1057 Broad St, Bridgeport CT, 06604. NPI Number Jose A Olmo LCSW LICENSED CLINIC has the Individual type.

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1346338779 NPI number is provided on an as is basis without warranty of any kind. 1346338779 is maintained by the National Plan & Provider Enumeration System. The contents of Jose A Olmo LCSW LICENSED CLINIC are for informational purposes only.