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1013052661
JAMIE LYNN BIRCHALL
MIDDLETOWN, CT
NPI
1013052661
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Former Name
JAMIE LYNN ANTANAITIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Ms. JAMIE LYNN BIRCHALL as darc
1250 SILVER ST
MIDDLETOWN, CT 06457-3946
Phone number: 860-346-0300
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Mailing Address
Ms. JAMIE LYNN BIRCHALL as darc
1250 SILVER ST
MIDDLETOWN, CT 06457-3946
Phone number: 860-346-0300
Copy
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