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1245588086
YOMMALA SYSAVAT
HARTFORD, CT
NPI
1245588086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-28
Last Update Date
2012-08-28
Business Address
-- YOMMALA SYSAVAT
55 FISHFRY ST
HARTFORD, CT 06120-1203
Phone number: 860-247-8300
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Mailing Address
-- YOMMALA SYSAVAT
55 FISHFRY ST
HARTFORD, CT 06120-1203
Phone number: 860-247-8300
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