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1922114016
CHANNE FODEMAN
WESTPORT, CT
NPI
1922114016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 001072)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Mrs. CHANNE FODEMAN LCSW
12 HILLSPOINT ROAD
WESTPORT, CT 06880-4536
Phone number: 203-226-3411
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Mailing Address
Mrs. CHANNE FODEMAN LCSW
12 HILLSPOINT ROAD
WESTPORT, CT 06880-4536
Phone number: 203-226-3411
Copy
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