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1255095378
LISANNY MENDEZ CASTILLO
NEW HAVEN, CT
NPI
1255095378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2021-10-25
Last Update Date
2022-02-09
Business Address
LISANNY MENDEZ CASTILLO
458 GRAND AVE
NEW HAVEN, CT 06513-3856
Phone number: 860-462-6420
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Mailing Address
LISANNY MENDEZ CASTILLO
458 GRAND AVE STE 103
NEW HAVEN, CT 06513-3873
Phone number: 860-462-6420
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