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1396405585
AUTUMN CLOUD-INGRAM
BETHANY, CT
NPI
1396405585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 11955)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
AUTUMN CLOUD-INGRAM
932 LITCHFIELD TPKE
BETHANY, CT 06524-3019
Phone number: 203-390-0070
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Mailing Address
AUTUMN CLOUD-INGRAM
932 LITCHFIELD TPKE
BETHANY, CT 06524-3019
Phone number: 203-390-0070
Copy
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