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1255699161
MICAH J MANN
TORRINGTON, CT
NPI
1255699161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 689)
Enumeration Date
2012-04-27
Last Update Date
2012-04-27
Business Address
-- MICAH J MANN MA, LADC
434 PROSPECT ST
TORRINGTON, CT 06790-4937
Phone number: 860-877-4320
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Mailing Address
-- MICAH J MANN MA, LADC
37 BRIDLE DR
BARKHAMSTED, CT 06063-3425
Phone number:
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