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1245020031
BIANNCA SQUIRES
DERBY, CT
NPI
1245020031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 8296)
Enumeration Date
2025-05-07
Last Update Date
2025-05-07
Business Address
BIANNCA SQUIRES LPC
12 COMMODORE HULL DR
DERBY, CT 06418-2255
Phone number: 203-906-9913
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Mailing Address
BIANNCA SQUIRES LPC
12 COMMODORE HULL DR
DERBY, CT 06418-2255
Phone number: 203-906-9913
Copy
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