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1144556218
ANTHONY AUGUSTINE
OLD SAYBROOK, CT
NPI
1144556218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000884)
Enumeration Date
2009-10-26
Last Update Date
2009-10-26
Business Address
-- ANTHONY AUGUSTINE LADC
841 MIDDLESEX TPKE
OLD SAYBROOK, CT 06475-1317
Phone number: 860-395-0111
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Mailing Address
-- ANTHONY AUGUSTINE LADC
841 MIDDLESEX TPKE
OLD SAYBROOK, CT 06475-1317
Phone number: 860-395-0111
Copy
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