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1225405152
ELIZABETH DOMACK
BRIDGEPORT, CT
NPI
1225405152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 2811)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- ELIZABETH DOMACK LPC
170 BENNETT ST
BRIDGEPORT, CT 06605-2901
Phone number: 203-330-6790
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Mailing Address
-- ELIZABETH DOMACK LPC
170 BENNETT ST
BRIDGEPORT, CT 06605-2901
Phone number: 203-330-6790
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