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1114318656
EMILY MEDINA, LCSW, LLC
SHELTON, CT
NPI
1114318656
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Entity Type
Organization
Authorized Contact
EMILY MEDINA
Lcsw
203-446-6486
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 007837)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
EMILY MEDINA, LCSW, LLC
2 IVY BROOK RD
SHELTON, CT 06484-6416
Phone number: 203-446-6486
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Mailing Address
EMILY MEDINA, LCSW, LLC
50 MORNINGSIDE DR
ANSONIA, CT 06401-1312
Phone number: 203-446-6486
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