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1215080148
LUCILLE PORTLEY
WEST HAVEN, CT
NPI
1215080148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 002189)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- LUCILLE PORTLEY ST
636 CAMPBELL AVE
WEST HAVEN, CT 06516-4408
Phone number: 203-934-6690
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Mailing Address
-- LUCILLE PORTLEY ST
78 WOODLAND RD
GUILFORD, CT 06437-1576
Phone number: 203-645-5793
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