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1003288168
JACQUELINE RODRIGUEZ
BRIDGEPORT, CT
NPI
1003288168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 001104)
Enumeration Date
2015-10-28
Last Update Date
2016-10-31
Business Address
MRS. JACQUELINE RODRIGUEZ LADC,CAC,APP
243 SUCCESS AVE
BRIDGEPORT, CT 06610-2429
Phone number: 203-864-8429
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Mailing Address
MRS. JACQUELINE RODRIGUEZ LADC,CAC,APP
243 SUCCESS AVE
BRIDGEPORT, CT 06610-2429
Phone number: 203-864-8429
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