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1083122550
TRACY CLOUGH
SHELTON, CT
NPI
1083122550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 10006)
Enumeration Date
2018-01-17
Last Update Date
2018-01-17
Business Address
TRACY CLOUGH LCSW
515 BRIDGEPORT AVE
SHELTON, CT 06484-5366
Phone number: 973-809-4722
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Mailing Address
TRACY CLOUGH LCSW
298 PARK LN
TRUMBULL, CT 06611-2254
Phone number: 973-809-4722
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