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1053897108
LISA R SHOGLOW
FAIRFIELD, CT
NPI
1053897108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CT 002011)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
LISA R SHOGLOW LMFT
125 PENFIELD RD
FAIRFIELD, CT 06824-6611
Phone number: 203-255-5777
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Mailing Address
LISA R SHOGLOW LMFT
475 CLINTON AVE
BRIDGEPORT, CT 06605-1700
Phone number: 203-368-4291
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