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1104952381
DEBRA BOLTAS
NEW HAVEN, CT
NPI
1104952381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 001924)
Enumeration Date
2007-02-24
Last Update Date
2007-07-08
Business Address
-- DEBRA BOLTAS Ph.D.
66 TRUMBULL ST
NEW HAVEN, CT 06510-1012
Phone number: 203-787-9119
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Mailing Address
-- DEBRA BOLTAS Ph.D.
198 LAWRENCE ST
NEW HAVEN, CT 06511-2417
Phone number: 203-824-4476
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