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1912633157
IMANI A VELLOM
MANCHESTER, CT
NPI
1912633157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-29
Last Update Date
2022-07-29
Business Address
IMANI A VELLOM
444 CENTER ST
MANCHESTER, CT 06040-3926
Phone number: 860-646-3888
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Mailing Address
IMANI A VELLOM
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-731-5522
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