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NPI Code Detail

MEDICARE: MS. JO ANN ZUCKERBROD MSW, LCSW

MEDICARE:  MS. JO ANN  ZUCKERBROD  MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker002659CT

General Provider Information

NPI Number : 1841413259
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JO ANN ZUCKERBROD MSW, LCSW
Provider Business Mailing Address
First Line : 237 STRAWBERRY HILL AVE APT 33
Second Line :
City : STAMFORD
State : CT
Zip : 06902-2567
Country : US
Telephone Number : 203-353-8405
Fax Number : 203-327-7508
Provider Business Practice Location Address
First Line : 237 STRAWBERRY HILL AVE APT 33
Second Line :
City : STAMFORD
State : CT
Zip : 06902-2567
Country : US
Telephone Number : 203-353-8405
Fax Number : 203-327-7508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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Directions to “ MS. JO ANN ZUCKERBROD MSW, LCSW” Practice Location

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