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1225469059
IVELISE ALICEA
BRIDGEPORT, CT
NPI
1225469059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 010440)
Enumeration Date
2013-12-04
Last Update Date
2019-12-30
Business Address
IVELISE ALICEA
46 ALBION ST
BRIDGEPORT, CT 06605-2602
Phone number: 203-330-6000
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Mailing Address
IVELISE ALICEA
46 ALBION ST
BRIDGEPORT, CT 06605-2602
Phone number: 203-330-6000
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