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1326716689
ROBERT BOBACK
FAIRFIELD, CT
NPI
1326716689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 44.001421)
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
Mr. ROBERT BOBACK LADC
76 LEWIS DR
FAIRFIELD, CT 06825-1920
Phone number: 203-694-9895
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Mailing Address
Mr. ROBERT BOBACK LADC
76 LEWIS DR
FAIRFIELD, CT 06825-1920
Phone number: 203-694-9895
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