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1124538020
KENT LUONG
WEST HAVEN, CT
NPI
1124538020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-10-05
Last Update Date
2017-10-05
Business Address
KENT LUONG
392 ELM ST APT G3
WEST HAVEN, CT 06516-4245
Phone number: 203-508-5048
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Mailing Address
KENT LUONG
392 ELM ST APT G3
WEST HAVEN, CT 06516-4245
Phone number: 203-508-5048
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