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1700091022
WANDA VALENTIN
BRIDGEPORT, CT
NPI
1700091022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT cac1213)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- WANDA VALENTIN BS, CADC, CCS
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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Mailing Address
-- WANDA VALENTIN BS, CADC, CCS
17 BREWSTER LN
SHELTON, CT 06484-3319
Phone number: 203-394-6529
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