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1265946842
SHIVA REZVAN HOMAMI
CHESHIRE, CT
NPI
1265946842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 003650)
Enumeration Date
2017-11-19
Last Update Date
2018-06-26
Business Address
Dr. SHIVA REZVAN HOMAMI Ph.D.
1095 S MAIN ST
CHESHIRE, CT 06410-3432
Phone number: 203-271-3809
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Mailing Address
Dr. SHIVA REZVAN HOMAMI Ph.D.
1095 S MAIN ST
CHESHIRE, CT 06410-3432
Phone number: 570-472-5088
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