JASON ELIJAH SPANN

BRIDGEPORT, CT
NPI1497088520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  7106)
Enumeration Date2009-09-08
Last Update Date2018-03-17
Business Address
Mr. JASON ELIJAH SPANN LCSW
1057 BROAD ST FL 3
BRIDGEPORT, CT 06604-4219
Phone number: 203-996-2661
Mailing Address
Mr. JASON ELIJAH SPANN LCSW
PO BOX 84
BRIDGEPORT, CT 06601-0084
Phone number: 203-996-2661
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