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1174950554
EDWARD JOHN DURETTE
WATERBURY, CT
NPI
1174950554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-01
Last Update Date
2013-10-01
Business Address
-- EDWARD JOHN DURETTE DARC
22 CHASE RIVER RD
WATERBURY, CT 06704-1408
Phone number: 203-753-2153
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Mailing Address
-- EDWARD JOHN DURETTE DARC
22 CHASE RIVER RD
WATERBURY, CT 06704-1408
Phone number: 203-753-2153
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