| Brooklawn Wellness Center | |
|
1653 Capitol Avenue Bridgeport CT 06604 | |
| (203) 368-0688 | |
| Not Available |
| Full Name | Brooklawn Wellness Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1653 Capitol Avenue, Bridgeport, Connecticut |
| Authorized Official Name and Position | Michael Salvatore Guglielmo (OWNER LICENSED CLINICAL SOCIAL WKR) |
| Authorized Official Contact | 2033680688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklawn Wellness Center 1653 Capitol Avenue Bridgeport CT 06604 Ph: (203) 368-0688 | Brooklawn Wellness Center 1653 Capitol Avenue Bridgeport CT 06604 Ph: (203) 368-0688 |
| NPI Number | 1558542472 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558542472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 001581 (Connecticut) | Primary |
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