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1447882006
JESSICA LAUREN VIVENZIO
NORWALK, CT
NPI
1447882006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 10945)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
JESSICA LAUREN VIVENZIO LCSW
9 MOTT AVE FL 4
NORWALK, CT 06850-3330
Phone number: 203-523-5793
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Mailing Address
JESSICA LAUREN VIVENZIO LCSW
9 MOTT AVE FL 4
NORWALK, CT 06850-3330
Phone number:
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