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1023195864
DEBORAH JEAN STACK
HARTFORD, CT
NPI
1023195864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CT 1238)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. DEBORAH JEAN STACK PhD
682 PROSPECT AVENUE
HARTFORD, CT 06105
Phone number: 860-258-6065
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Mailing Address
Dr. DEBORAH JEAN STACK PhD
682 PROSPECT AVENUE
HARTFORD, CT 06105
Phone number: 860-258-6065
Copy
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