CHARLES A MAILLARD

BRIDGEPORT, CT
NPI1942703608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  011789)
Additional Taxonomies104100000X Social Worker
Enumeration Date2018-03-08
Last Update Date2023-09-21
Business Address
CHARLES A MAILLARD LCSW
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Phone number: 203-394-6529
Mailing Address
CHARLES A MAILLARD LCSW
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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