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1649606096
CODY COOPER BERGERON
FAIRFIELD, CT
NPI
1649606096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 8934)
Enumeration Date
2013-09-17
Last Update Date
2021-12-06
Business Address
Mrs. CODY COOPER BERGERON LCSW
425 KINGS HWY E
FAIRFIELD, CT 06825-4852
Phone number: 203-307-0119
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Mailing Address
Mrs. CODY COOPER BERGERON LCSW
516 WOODRIDGE AVE
FAIRFIELD, CT 06825-2577
Phone number: 203-247-9039
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