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1275007353
DONNA ELIZABETH MEDINA
NEW LONDON, CT
NPI
1275007353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 001224)
Enumeration Date
2019-01-11
Last Update Date
2024-11-25
Business Address
DONNA ELIZABETH MEDINA LADC
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
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Mailing Address
DONNA ELIZABETH MEDINA LADC
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
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