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1265153175
ANDREW LAUTENBERGER
NORWICH, CT
NPI
1265153175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 001144)
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
ANDREW LAUTENBERGER LADC
326 WASHINGTON ST
NORWICH, CT 06360-2740
Phone number: 860-889-8331
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Mailing Address
ANDREW LAUTENBERGER LADC
38 HOPE ST UNIT 11
NIANTIC, CT 06357-2432
Phone number: 860-961-2092
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