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1386835809
JENNIFER AYERS FORMOSO
TRUMBULL, CT
NPI
1386835809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 004638)
Enumeration Date
2007-08-08
Last Update Date
2007-08-08
Business Address
-- JENNIFER AYERS FORMOSO LCSW
55 BONNIE VIEW DR
TRUMBULL, CT 06611-4701
Phone number: 203-520-3114
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Mailing Address
-- JENNIFER AYERS FORMOSO LCSW
55 BONNIE VIEW DR
TRUMBULL, CT 06611-4701
Phone number: 203-520-3114
Copy
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