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1225270390
LICETE F LAGE
BRIDGEPORT, CT
NPI
1225270390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2009-04-03
Last Update Date
2009-04-03
Business Address
-- LICETE F LAGE
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6000
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Mailing Address
-- LICETE F LAGE
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6000
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