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1023361482
JODY MICHAEL KOVAL
FAIRFIELD, CT
NPI
1023361482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 002238)
Enumeration Date
2012-10-23
Last Update Date
2012-10-23
Business Address
-- JODY MICHAEL KOVAL LPC
501 KINGS HIGHWAY EAST SUITE 108, E12
FAIRFIELD, CT 06825-4859
Phone number: 203-918-8025
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Mailing Address
-- JODY MICHAEL KOVAL LPC
1199 WHITNEY AVE #513
HAMDEN, CT 06517-2872
Phone number: 203-918-8025
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