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Individual

JESSICA FONICELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CBE, CLC, CD, PRA

Contact information

Practice address
2120 LITTLE MEADOW RD, GUILFORD, CT 06437-1617
(203) 415-2388
Mailing address
2120 LITTLE MEADOW RD, GUILFORD, CT 06437-1617

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
374J00000X
Doula
Primary

Other

Enumeration date
02/28/2025
Last updated
02/28/2025
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