Most Relevant Information
Provider Data
| NPI Number: | 1003370313 |
| Provider Name: | LAMONT DIXON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2019 |
| Last Updated: | 01/31/2019 |
Provider Practice Location
949 BRIDGEPORT AVE
MILFORD
CT
064603142
Practice Location Phone/Fax
| Phone: | 2038786365 |
| Fax: |
Provider Mailing Location
949 BRIDGEPORT AVE
MILFORD
CT
064603142
Provider Mailing Phone/Fax
| Phone: | 2038786365 |
| Fax: |