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1588623938
WALTER S GILLIAM
NEW HAVEN, CT
NPI
1588623938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: CT 002137)
Enumeration Date
2006-03-22
Last Update Date
2007-07-08
Business Address
-- WALTER S GILLIAM PhD
800 HOWARD AVENUE YALE PHYSICIANS BUILDING
NEW HAVEN, CT 06519
Phone number: 203-785-2140
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Mailing Address
-- WALTER S GILLIAM PhD
PO BOX 9805 300 GEORGE STREET, 6TH FLOOR
NEW HAVEN, CT 06536-0805
Phone number: 203-785-7998
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