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1144591710
PHILIP FREDERICK RICHMOND
HARTFORD, CT
NPI
1144591710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000278)
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
Mr. PHILIP FREDERICK RICHMOND ladc
18 WESTON ST
HARTFORD, CT 06120-1504
Phone number: 860-527-5100
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Mailing Address
Mr. PHILIP FREDERICK RICHMOND ladc
18 WESTON ST
HARTFORD, CT 06120-1504
Phone number: 860-527-5100
Copy
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