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1194049577
MAXINE WALSH
FAIRFIELD, CT
NPI
1194049577
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Former Name
MAXINE MOURA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CT 001136)
Enumeration Date
2010-03-15
Last Update Date
2010-03-15
Business Address
Mrs. MAXINE WALSH
175 JEFFERSON ST
FAIRFIELD, CT 06825-1078
Phone number: 203-365-6443
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Mailing Address
Mrs. MAXINE WALSH
175 JEFFERSON ST
FAIRFIELD, CT 06825-1078
Phone number: 203-365-6443
Copy
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