Individual
TAYLOR DEBARTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 LILLIAN AVE, NEW FAIRFIELD, CT 06812-4413
(845) 559-9031
Mailing address
10 LILLIAN AVE, NEW FAIRFIELD, CT 06812-4413
(845) 559-9031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5579
CT
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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