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1184620437
JANE BOUVIER
MIDDLETOWN, CT
NPI
1184620437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 003886)
Enumeration Date
2005-06-22
Last Update Date
2008-08-19
Business Address
-- JANE BOUVIER LCSW
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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Mailing Address
-- JANE BOUVIER LCSW
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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