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1124000690
ELAINE A POULOS
WATERBURY, CT
NPI
1124000690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 000721)
Enumeration Date
2005-11-18
Last Update Date
2007-07-08
Business Address
Ms. ELAINE A POULOS LPC
64 ROBBINS ST CRISIS INTERVENTION CENTER
WATERBURY, CT 06708-2613
Phone number: 203-573-6500
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Mailing Address
Ms. ELAINE A POULOS LPC
22 BURNHAM ST
PLAINVILLE, CT 06062-1702
Phone number: 860-747-2997
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