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1891143319
CHARMAINE ANN MARIE WALLEN
BRIDGEPORT, CT
NPI
1891143319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: CT 002842)
Enumeration Date
2016-05-25
Last Update Date
2016-05-25
Business Address
CHARMAINE ANN MARIE WALLEN
1470 BARNUM AVE 303
BRIDGEPORT, CT 06610-3237
Phone number: 203-332-4940
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Mailing Address
CHARMAINE ANN MARIE WALLEN
1470 BARNUM AVE 303
BRIDGEPORT, CT 06610-3237
Phone number: 203-332-4940
Copy
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