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1992238802
STEPHANIE STREET
NEW HAVEN, CT
NPI
1992238802
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Former Name
STEPHANIE LYNN SIMONE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 9650)
Enumeration Date
2017-04-07
Last Update Date
2019-10-02
Business Address
Mrs. STEPHANIE STREET LCSW
226 DIXWELL AVE NORTHSIDE COMMUNITY OUTPATIENT SERVICES
NEW HAVEN, CT 06511-3456
Phone number: 203-503-3470
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Mailing Address
Mrs. STEPHANIE STREET LCSW
400 COLUMBUS AVE CREDENTIALING SPECIALIST
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3174
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