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1902907090
JONATHAN M SPODICK
DARIEN, CT
NPI
1902907090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 006200)
Enumeration Date
2006-09-25
Last Update Date
2013-07-16
Business Address
-- JONATHAN M SPODICK LCSW
762 POST RD
DARIEN, CT 06820-4719
Phone number: 203-688-9855
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Mailing Address
-- JONATHAN M SPODICK LCSW
762 POST RD
DARIEN, CT 06820-4719
Phone number: 203-688-9855
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