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1336506583
JODI COSTENBADER
STAMFORD, CT
NPI
1336506583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 000547)
Enumeration Date
2016-01-19
Last Update Date
2016-01-19
Business Address
Dr. JODI COSTENBADER PhD, LPC
666 GLENBROOK RD 1ST FLOOR
STAMFORD, CT 06906-1439
Phone number: 203-329-3759
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Mailing Address
Dr. JODI COSTENBADER PhD, LPC
68 ORCHARD DR
REDDING, CT 06896-2911
Phone number:
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