MARVIN HUGH DOUGLAS

HARTFORD, CT
NPI1083045710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  000090)
Enumeration Date2013-12-05
Last Update Date2013-12-05
Business Address
Dr. MARVIN HUGH DOUGLAS
330 MARKET ST
HARTFORD, CT 06120-2901
Phone number: 860-490-8864
Mailing Address
Dr. MARVIN HUGH DOUGLAS
34 LINCOLN TER
BLOOMFIELD, CT 06002-3125
Phone number: 860-830-9333
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