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Individual

MS. CAROL VALETTA FENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2505 MAIN ST, STRATFORD, CT 06615-5839
(203) 386-0364
(203) 386-0364
Mailing address
445 EMERALD PL, STRATFORD, CT 06614-2059
(203) 378-0499
(203) 386-0364

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CT

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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