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1952174948
LATISHA BROCKINGTON
WATERBURY, CT
NPI
1952174948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 6846)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
LATISHA BROCKINGTON LPC-A
855 LAKEWOOD RD
WATERBURY, CT 06704-5408
Phone number: 888-793-3500
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Mailing Address
LATISHA BROCKINGTON LPC-A
730 HIGH ST
NAUGATUCK, CT 06770-3241
Phone number: 203-490-9258
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