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Individual

MS. WILLIE BREVARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3 LEWIS ST, NORWALK, CT 06851-4704
(203) 846-4626
(203) 849-1220
Mailing address
18 LINDEN ST, NORWALK, CT 06851-1527
(203) 845-0335
(203) 846-6736

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001027
CT

Other

Enumeration date
03/21/2007
Last updated
07/08/2007
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