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1255115226
JAY EDWARD SOUZA-ERLANDSON
NEW LONDON, CT
NPI
1255115226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 7740)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
JAY EDWARD SOUZA-ERLANDSON MSW
75 GRANITE ST
NEW LONDON, CT 06320-5770
Phone number: 860-245-9372
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Mailing Address
JAY EDWARD SOUZA-ERLANDSON MSW
10 BLUFF AVE STE 115
CLINTON, CT 06413-2255
Phone number: 860-245-9372
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