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1063627149
KENNETH MICHAEL LACILLA
SHELTON, CT
NPI
1063627149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 004908)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Mr. KENNETH MICHAEL LACILLA MSW
476 HOWE AVE SUITE 4
SHELTON, CT 06484-3153
Phone number: 203-924-9426
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Mailing Address
Mr. KENNETH MICHAEL LACILLA MSW
41 APPLETREE LN
NORTH HAVEN, CT 06473-2903
Phone number: 203-288-7943
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