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1164247847
ILLESE FORGANG
NORWALK, CT
NPI
1164247847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 14501)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
ILLESE FORGANG LCSW
100 SEAVIEW AVE SUITE 4E
NORWALK, CT 06855-2305
Phone number: 203-293-8215
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Mailing Address
ILLESE FORGANG LCSW
100 SEAVIEW AVE SUITE 4E
NORWALK, CT 06855-2305
Phone number: 203-293-8215
Copy
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