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1013467133
JACQUELINE BANASIEWICZ
WEST HARTFORD, CT
NPI
1013467133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 3023)
Enumeration Date
2016-10-13
Last Update Date
2016-10-15
Business Address
-- JACQUELINE BANASIEWICZ LPC
45 S MAIN ST
WEST HARTFORD, CT 06107-2441
Phone number: 860-414-4245
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Mailing Address
-- JACQUELINE BANASIEWICZ LPC
59 WOOD CREEK RD
BURLINGTON, CT 06013-1920
Phone number: 860-395-9857
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