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1720299746
CLIFFORD IVES
BRIDGEPORT, CT
NPI
1720299746
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Other Name
CLIFFORD IVES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 10ya0400x)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- CLIFFORD IVES
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6054
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Mailing Address
-- CLIFFORD IVES
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6054
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