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1326792912
AUTUMN CHASE
BRIDGEPORT, CT
NPI
1326792912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 5044)
Enumeration Date
2022-02-11
Last Update Date
2022-02-11
Business Address
AUTUMN CHASE LPCA
475 CLINTON AVE
BRIDGEPORT, CT 06605-1700
Phone number: 203-368-5632
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Mailing Address
AUTUMN CHASE LPCA
34 PARK CIR
MILFORD, CT 06460-4832
Phone number: 860-906-2147
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