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1235957598
ZANE S SMALLIDGE
ENFIELD, CT
NPI
1235957598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
ZANE S SMALLIDGE
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-731-5522
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Mailing Address
ZANE S SMALLIDGE
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-697-3351
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