Individual
MS. ANDREA DOMENICA LUCIBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06504-8900
(203) 688-9142
(203) 688-3596
Mailing address
20 YORK ST, NEW HAVEN, CT 06504-8900
(203) 688-9142
(203) 688-3596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002535
CT
Other
Enumeration date
06/03/2006
Last updated
11/03/2010
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