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Phetsamon Dilullo

Social Worker, Clinical in Windsor, CT. Individual provider (NPI-1).

NPI number1982168688
StatusActive
Last updated in NPPESApr 12, 2019

Details

NPI
1982168688
Entity type
Individual (NPI-1)
Name
Phetsamon Dilullo
Sex
Female
Sole proprietor
No
Enumeration date
Jan 27, 2019
Last updated
Apr 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical010163CTYes

Practice location

32 Maple Ave
Windsor, CT 06095-2922

Phone 860-973-9171

Mailing address

32 Maple Ave
Windsor, CT 06095-2922

Phone 860-973-9171

Other practice locations

32 Maple Ave
Windsor, CT 06095-2922

Phone 860-973-9171

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