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1740973296
KETSIA DESTRA
WATERBURY, CT
NPI
1740973296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
KETSIA DESTRA
80 PROSPECT ST
WATERBURY, CT 06702-1327
Phone number: 203-598-8630
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Mailing Address
KETSIA DESTRA
17 MORELAND AVE
WATERBURY, CT 06705-2916
Phone number: 203-850-4322
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