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1710741442
JETT DISPOTO MOXLEY
DERBY, CT
NPI
1710741442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: CT 6718)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
JETT DISPOTO MOXLEY LPCA
111 NEW HAVEN AVE
DERBY, CT 06418-2197
Phone number: 475-439-9639
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Mailing Address
JETT DISPOTO MOXLEY LPCA
22 HARMAC DR
EAST HAVEN, CT 06513-1210
Phone number: 862-227-5904
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