ANNETTE LICKWOLA

NEW LONDON, CT
NPI1093557050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  44.001570)
Enumeration Date2024-06-11
Last Update Date2024-10-31
Business Address
Mrs. ANNETTE LICKWOLA LADC
931 BANK ST
NEW LONDON, CT 06320-2702
Phone number: 860-574-8256
Mailing Address
Mrs. ANNETTE LICKWOLA LADC
931 BANK ST
NEW LONDON, CT 06320-2702
Phone number: 860-574-8256