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1871838805
FENTYSHIA DANIELS
BRIDGEPORT, CT
NPI
1871838805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-12-03
Last Update Date
2013-03-08
Business Address
Mrs. FENTYSHIA DANIELS MSW
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-332-3119
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Mailing Address
Mrs. FENTYSHIA DANIELS MSW
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number:
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