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1306223169
STEPHEN MOORE
MIDDLETOWN, CT
NPI
1306223169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
(Licence: CT 1070)
Enumeration Date
2015-04-30
Last Update Date
2015-04-30
Business Address
Mr. STEPHEN MOORE LPC
100 ROSCOMMON DR
MIDDLETOWN, CT 06457-1591
Phone number: 860-343-5500
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Mailing Address
Mr. STEPHEN MOORE LPC
100 ROSCOMMON DR
MIDDLETOWN, CT 06457-1591
Phone number: 860-343-5500
Copy
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