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1285909846
TERRENCE SMITH
WILLIMANTIC, CT
NPI
1285909846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 000600)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
TERRENCE SMITH LADC
1491 MAIN ST
WILLIMANTIC, CT 06226-1914
Phone number: 860-456-1769
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Mailing Address
TERRENCE SMITH LADC
1491 MAIN ST
WILLIMANTIC, CT 06226-1914
Phone number: 860-456-1769
Copy
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