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1003644618
MIMI PUGH
MANCHESTER, CT
NPI
1003644618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 1574)
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
MIMI PUGH LADC
73 WALNUT ST
MANCHESTER, CT 06040-4954
Phone number: 860-506-5765
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Mailing Address
MIMI PUGH LADC
14 HAZARD AVE # 23
ENFIELD, CT 06082-3713
Phone number: 860-506-5765
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