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1376009027
STACEY RICCA
WALLINGFORD, CT
NPI
1376009027
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Former Name
STACEY RAHL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 58.010064)
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
STACEY RICCA LCSW
50 GAYLORD FARM RD
WALLINGFORD, CT 06492-2899
Phone number: 203-284-2820
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Mailing Address
STACEY RICCA LCSW
50 GAYLORD FARM RD
WALLINGFORD, CT 06492-2899
Phone number: 203-284-2820
Copy
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