| Alicia Feller Lcsw Llc | |
|
1057 Broad St Suite 304 Bridgeport CT 06604-4219 | |
| (203) 581-3019 | |
| Not Available |
| Full Name | Alicia Feller Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1057 Broad St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Alicia Feller (OWNER) |
| Authorized Official Contact | 2035813019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Feller Lcsw Llc 11 Kindle Ln Derby CT 06418-2118 Ph: (203) 581-3019 | Alicia Feller Lcsw Llc 1057 Broad St Suite 304 Bridgeport CT 06604-4219 Ph: (203) 581-3019 |
| NPI Number | 1487093050 |
|---|---|
| Provider Enumeration Date | 06/17/2013 |
| Last Update Date | 06/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487093050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005501 (Connecticut) | Primary |
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