Individual
DEBORAH LYNN GENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MEADOW STREET, LAKE VILLE, CT 06039
(530) 228-4734
Mailing address
233 MANSFIELD GROVE RD UNIT 302, EAST HAVEN, CT 06512-4826
(530) 228-4734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03-011130
CT
Other
Enumeration date
10/25/2023
Last updated
10/27/2023
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