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1336362011
RICHARD HENAULT
WETHERSFIELD, CT
NPI
1336362011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000145)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Mr. RICHARD HENAULT LADC
59 BURWOOD RD
WETHERSFIELD, CT 06109-3602
Phone number: 860-794-1661
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Mailing Address
Mr. RICHARD HENAULT LADC
59 BURWOOD RD
WETHERSFIELD, CT 06109-3602
Phone number: 860-794-1661
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