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1891160206
DOMINIQUE DECILLA
NEW HAVEN, CT
NPI
1891160206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 9304)
Enumeration Date
2015-12-10
Last Update Date
2018-10-25
Business Address
DOMINIQUE DECILLA LCSW
67 TRUMBULL ST
NEW HAVEN, CT 06510-1004
Phone number: 203-710-6339
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Mailing Address
DOMINIQUE DECILLA LCSW
109 LEGION AVE
NEW HAVEN, CT 06519-5506
Phone number: 203-562-2264
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