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Individual

MS. JULIET GRACE POPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001025
CT
1041C0700X
Clinical Social Worker
Primary
008860
CT

Other

Enumeration date
02/20/2013
Last updated
06/15/2015
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