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1124308994
SORALIS CAMACHO-IRIZARRY
NEW HAVEN, CT
NPI
1124308994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 3142)
Enumeration Date
2011-08-24
Last Update Date
2019-11-01
Business Address
SORALIS CAMACHO-IRIZARRY LPC
400 COLUMBUS AVE ADULT PSYCHIATRIC CLINIC
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3075
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Mailing Address
SORALIS CAMACHO-IRIZARRY LPC
400 COLUMBUS AVE CREDENTIALING SPECIALIST
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3000
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