GREGORY BRUCE JACK

PLAINFIELD, CT
NPI1164517512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: CT  000758)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
MR. GREGORY BRUCE JACK LPC
50 ACADEMY HILL ROAD
PLAINFIELD, CT 06374
Phone number: 860-564-3015
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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