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1326330424
THOMAS BLACKWELL
BRIDGEPORT, CT
NPI
1326330424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 007599)
Enumeration Date
2011-05-07
Last Update Date
2011-05-07
Business Address
Mr. THOMAS BLACKWELL L.C.S.W.
80 VIRGINIA AVE
BRIDGEPORT, CT 06610-1506
Phone number: 203-814-2176
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Mailing Address
Mr. THOMAS BLACKWELL L.C.S.W.
80 VIRGINIA AVE
BRIDGEPORT, CT 06610-1506
Phone number: 203-814-2176
Copy
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