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1316001647
JENNIFER LUISE CHAMPAGNE
ANSONIA, CT
NPI
1316001647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 000095)
Enumeration Date
2006-12-21
Last Update Date
2008-06-09
Business Address
-- JENNIFER LUISE CHAMPAGNE MA
435 E MAIN ST
ANSONIA, CT 06401-1964
Phone number: 203-736-2601
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Mailing Address
-- JENNIFER LUISE CHAMPAGNE MA
27 WHIPPORWILL DR
SHELTON, CT 06484-5900
Phone number: 203-925-1428
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