HALEEMAH LAKE

WATERFORD, CT
NPI1316044977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  CT 004841)
Enumeration Date2006-09-17
Last Update Date2007-07-08
Business Address
-- HALEEMAH LAKE LCSW
567 VAUXHALL STREET EXT STE 316
WATERFORD, CT 06385-4341
Phone number: 860-303-0336
Mailing Address
-- HALEEMAH LAKE LCSW
PO BOX 526
NEW LONDON, CT 06320-0526
Phone number: 860-303-0336
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