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1326539602
JENNIFER LYN ELLIS
BRIDGEPORT, CT
NPI
1326539602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 007975)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
JENNIFER LYN ELLIS LCSW
743 SOUTH AVE
BRIDGEPORT, CT 06604-5810
Phone number: 203-330-6000
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Mailing Address
JENNIFER LYN ELLIS LCSW
743 SOUTH AVE
BRIDGEPORT, CT 06604-5810
Phone number: 203-330-6000
Copy
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