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1821690017
JENNEL D FONTANELLE
DANBURY, CT
NPI
1821690017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 11150)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
JENNEL D FONTANELLE
100 MILL PLAIN RD
DANBURY, CT 06811-5178
Phone number: 203-558-1074
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Mailing Address
JENNEL D FONTANELLE
100 MILL PLAIN RD
DANBURY, CT 06811-5178
Phone number: 203-558-1074
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