Individual
CLEVETTA LAVERNE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 TUTTLE PL, MIDDLETOWN, CT 06457-1870
(860) 793-4448
(860) 793-3369
Mailing address
PO BOX 102, WEST HAVEN, CT 06516-0102
(203) 214-4524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/24/2024
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