IBSEN CHARLES

STAMFORD, CT
NPI1508391954
Former NameIBSEN VARGAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-04-24
Last Update Date2017-04-24
Business Address
-- IBSEN CHARLES
196 GREYROCK PL
STAMFORD, CT 06901-2006
Phone number: 917-406-4911
Mailing Address
-- IBSEN CHARLES
196 GREYROCK PL
STAMFORD, CT 06901-2006
Phone number: 203-324-6127
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