E. LAWRENCE BLACKWELL

GLASTONBURY, CT
NPI1285861716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  004581)
Enumeration Date2009-06-10
Last Update Date2009-06-10
Business Address
Mr. E. LAWRENCE BLACKWELL LCSW, CAC
140 GLASTONBURY BLVD SOMERSET SQ. 2ND FLOOR
GLASTONBURY, CT 06033-4402
Phone number: 860-212-5824
Mailing Address
Mr. E. LAWRENCE BLACKWELL LCSW, CAC
81 REDWOOD RD
MANCHESTER, CT 06040-6329
Phone number: 860-643-4684
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