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1154798502
CHARLES PETERSON
WETHERSFIELD, CT
NPI
1154798502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 003293)
Enumeration Date
2015-09-01
Last Update Date
2018-09-11
Business Address
CHARLES PETERSON
185 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Phone number: 860-698-1680
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Mailing Address
CHARLES PETERSON
1487 LONGMEADOW ST
LONGMEADOW, MA 01106-2204
Phone number: 413-726-8716
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