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Individual

LUISANNY CASTILLO CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
113 SALEM TPKE, NORWICH, CT 06360-6484
(888) 754-0398
Mailing address
113 SALEM TPKE STE 200, NORWICH, CT 06360-6484

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/01/2025
Last updated
07/01/2025
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