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1366989816
MISTY M GINICOLA
WEST HAVEN, CT
NPI
1366989816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 002631)
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
Dr. MISTY M GINICOLA Ph.D., LPC
672 W MAIN ST
WEST HAVEN, CT 06516-4826
Phone number: 203-339-1062
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Mailing Address
Dr. MISTY M GINICOLA Ph.D., LPC
672 W MAIN ST
WEST HAVEN, CT 06516-4826
Phone number: 203-339-1062
Copy
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