Individual
DARLENE ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6054
Mailing address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002718
CT
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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