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1336339068
EILEEN RUSSO
WATERBURY, CT
NPI
1336339068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT LADC000276)
Enumeration Date
2007-07-30
Last Update Date
2007-07-30
Business Address
Ms. EILEEN RUSSO LADC
402 EAST MAIN STREET
WATERBURY, CT 06702
Phone number: 203-755-1143
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Mailing Address
Ms. EILEEN RUSSO LADC
402 EAST MAIN STREET
WATERBURY, CT 06702
Phone number: 203-755-1143
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