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1497812457
LISA GAUTHIER MICELI
NEW LONDON, CT
NPI
1497812457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CT 002284)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Dr. LISA GAUTHIER MICELI Ph.D.
400 BAYONET ST STE 304
NEW LONDON, CT 06320-2600
Phone number: 860-443-7505
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Mailing Address
Dr. LISA GAUTHIER MICELI Ph.D.
100 GLENWOOD AVE
NEW LONDON, CT 06320-4350
Phone number: 860-444-7322
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