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1619101227
AMY MARIE STACK
WATERBURY, CT
NPI
1619101227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CT 001599)
Enumeration Date
2009-05-11
Last Update Date
2009-05-11
Business Address
MISS AMY MARIE STACK LPC
70 PINE ST
WATERBURY, CT 06710-2169
Phone number: 203-597-1935
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Mailing Address
MISS AMY MARIE STACK LPC
70 PINE ST
WATERBURY, CT 06710-2169
Phone number: 203-597-1935
Copy
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