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1992022321
TRACY PENNOYER
WESTPORT, CT
NPI
1992022321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 002003)
Enumeration Date
2010-04-25
Last Update Date
2010-04-25
Business Address
-- TRACY PENNOYER
8 MYRTLE AVE
WESTPORT, CT 06880-3511
Phone number: 203-341-0495
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Mailing Address
-- TRACY PENNOYER
90 KETTLE CREEK RD
WESTON, CT 06883-2222
Phone number: 203-341-0495
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