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SHANNON DIBELLA CASE MANAGER

Other Service Providers Case Manager/Care Coordinator

Provider NPI: 1275830101

Provider Information:
 SHANNON  DIBELLA CASE MANAGER
Gender: F
Not Sole Proprietor

Practice Location:
142 GRIGGS ST  WATERBURY, CT 06704-3110 US
Tel: 203-574-1419  Fax: 203-578-4180

Business Mailing Address:
402 E MAIN ST  WATERBURY, CT 06702-1701 US
Tel: 203-755-1143  Fax: 203-755-1447

NPI Information:
NPI: 1275830101
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator
CT

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 171M00000X

Type:

Classification:



Definition:



MEDICAL JOBS CT - Page 1

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