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1164517512
GREGORY BRUCE JACK
PLAINFIELD, CT
NPI
1164517512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 000758)
Enumeration Date
2006-10-03
Last Update Date
2024-11-14
Business Address
Mr. GREGORY BRUCE JACK LPC
50 ACADEMY HILL ROAD
PLAINFIELD, CT 06374
Phone number: 860-564-3015
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Mailing Address
Mr. GREGORY BRUCE JACK LPC
50 ACADEMY HILL ROAD, P.O. BOX 201
PLAINFIELD, CT 06374
Phone number: 860-564-3015
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