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1033402045
ETHEL BETHEA
NEW HAVEN, CT
NPI
1033402045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 000836)
Enumeration Date
2011-05-24
Last Update Date
2011-05-24
Business Address
MS. ETHEL BETHEA LADC
121 ROSETTE ST
NEW HAVEN, CT 06519-2427
Phone number: 203-214-7584
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Mailing Address
MS. ETHEL BETHEA LADC
121 ROSETTE ST
NEW HAVEN, CT 06519-2427
Phone number: 203-214-7584
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