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1366039182
STEPHANIE CAROLINE RUSSO
ANSONIA, CT
NPI
1366039182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2020-12-28
Last Update Date
2021-06-23
Business Address
STEPHANIE CAROLINE RUSSO
435 E MAIN ST
ANSONIA, CT 06401-1964
Phone number: 203-736-2601
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Mailing Address
STEPHANIE CAROLINE RUSSO
55 1/2 COTTAGE AVE
ANSONIA, CT 06401-1925
Phone number: 203-906-0400
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