EDGAR JIMENEZ

WATERBURY, CT
NPI1205019569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT  CADC1378)
Enumeration Date2007-12-10
Last Update Date2007-12-10
Business Address
MR. EDGAR JIMENEZ CADC
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 023-755-1143
Mailing Address
MR. EDGAR JIMENEZ CADC
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 023-755-1143
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