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1154737328
ELLISE VASQUEZ
WATERBURY, CT
NPI
1154737328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
ELLISE VASQUEZ BS
141 E MAIN ST 3RD FLOOR HOME BASED SERVICES
WATERBURY, CT 06702-2310
Phone number: 203-575-0466
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Mailing Address
ELLISE VASQUEZ BS
141 E MAIN ST 4TH FLOOR ADMINISTRATION
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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