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Individual

JENNA MARIE DELUCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC, LCSW

Contact information

Practice address
605 WASHINGTON AVE, NORTH HAVEN, CT 06473-1123
(203) 982-0526
Mailing address
52 SHARON DR, EAST HAVEN, CT 06512-1519
(203) 982-0526

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001373
CT
1041C0700X
Clinical Social Worker
Primary
12210
CT

Other

Enumeration date
08/11/2020
Last updated
09/26/2022
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