JOHN LEROY FORLENZA-BAILEY

MANCHESTER, CT
NPI1255392759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  000353)
Enumeration Date2006-04-01
Last Update Date2007-07-08
Business Address
-- JOHN LEROY FORLENZA-BAILEY LADC
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 860-646-1222
Mailing Address
-- JOHN LEROY FORLENZA-BAILEY LADC
230 QUAKER LN N
WEST HARTFORD, CT 06119-1149
Phone number: 860-232-0301
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