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1497074710
YEZENIA LUNA
BRIDGEPORT, CT
NPI
1497074710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT CAC 4497)
Enumeration Date
2010-05-26
Last Update Date
2010-05-26
Business Address
YEZENIA LUNA BS, CAC
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6504
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Mailing Address
YEZENIA LUNA BS, CAC
301 FUNSTON AVE
BRIDGEPORT, CT 06606-3038
Phone number: 203-339-1736
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