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1205989654
NEIL CANAVAN
WATERFORD, CT
NPI
1205989654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 005667)
Enumeration Date
2007-01-19
Last Update Date
2012-11-20
Business Address
-- NEIL CANAVAN LCSW
567 VAUXHALL STREET EXT
WATERFORD, CT 06385-4330
Phone number: 860-599-2348
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Mailing Address
-- NEIL CANAVAN LCSW
567 VAUXHALL STREET EXT STE 314
WATERFORD, CT 06385-4341
Phone number: 860-599-2348
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