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1104263284
MICHELENE M LONGO
EAST HARTFORD, CT
NPI
1104263284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 000834)
Enumeration Date
2013-05-29
Last Update Date
2013-05-29
Business Address
MICHELENE M LONGO LADC
991 MAIN ST
EAST HARTFORD, CT 06108-2274
Phone number: 860-528-3238
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Mailing Address
MICHELENE M LONGO LADC
991 MAIN ST
EAST HARTFORD, CT 06108-2274
Phone number: 860-528-3238
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