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1740967702
STACEY LEWIS-VARGAS
NEW HAVEN, CT
NPI
1740967702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: CT 6512)
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
STACEY LEWIS-VARGAS LPC-A
400 COLUMBUS AVE
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3055
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Mailing Address
STACEY LEWIS-VARGAS LPC-A
11 INDEPENDENCE CIR
SOUTHBURY, CT 06488-3000
Phone number: 475-279-9655
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