Individual
SU-LIN CARBONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3280
(203) 503-3254
Mailing address
394 WHITNEY AVE, NEW HAVEN, CT 06511-2338
(203) 430-3741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
006242
CT
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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