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1023139599
IVELISSE SOTO
WATERBURY, CT
NPI
1023139599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 006400)
Enumeration Date
2007-04-03
Last Update Date
2012-02-16
Business Address
Mrs. IVELISSE SOTO LCSW
95 THOMASTON AVE
WATERBURY, CT 06702-1007
Phone number: 203-805-5378
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Mailing Address
Mrs. IVELISSE SOTO LCSW
95 THOMASTON AVE
WATERBURY, CT 06702-1007
Phone number: 203-805-5378
Copy
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