Individual
MS. SHANIQUA DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
410 STATE ST, NORTH HAVEN, CT 06473-3147
(203) 437-6882
Mailing address
19 WALNUT ST, WATERBURY, CT 06702-1622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4477
CT
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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