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1821599127
KYISHA KIA VELAZQUEZ
NEW HAVEN, CT
NPI
1821599127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
KYISHA KIA VELAZQUEZ MA
446A BLAKE STREET SUITE 200
NEW HAVEN, CT 06515-0651
Phone number: 203-387-9400
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Mailing Address
KYISHA KIA VELAZQUEZ MA
408 NORTON PKWY
NEW HAVEN, CT 06511-2829
Phone number: 203-903-8684
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