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1679920656
GENT LEE DANIELS
NEW HAVEN, CT
NPI
1679920656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 9430)
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- GENT LEE DANIELS LCSW
400 COLUMBUS AVE
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3171
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Mailing Address
-- GENT LEE DANIELS LCSW
400 COLUMBUS AVE
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3174
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