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1114511532
SERGENA LEE LAINE
NORWALK, CT
NPI
1114511532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 11371)
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
SERGENA LEE LAINE LCSW
34 MAPLE ST
NORWALK, CT 06850-3815
Phone number: 203-855-3736
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Mailing Address
SERGENA LEE LAINE LCSW
34 MAPLE ST
NORWALK, CT 06850-3815
Phone number: 203-278-0797
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