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1902354681
JENNIFER A DERICO
NEW LONDON, CT
NPI
1902354681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- JENNIFER A DERICO
255 HEMPSTEAD ST
NEW LONDON, CT 06320-6204
Phone number: 860-443-2896
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Mailing Address
-- JENNIFER A DERICO
255 HEMPSTEAD ST
NEW LONDON, CT 06320-6204
Phone number: 860-443-2896
Copy
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