GORDON WESLEY LYDE

TORRINGTON, CT
NPI1346873767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-02-13
Last Update Date2020-02-13
Business Address
Mr. GORDON WESLEY LYDE CAC, CADC
76 JACKSON ST
TORRINGTON, CT 06790-6202
Phone number: 860-491-8511
Mailing Address
Mr. GORDON WESLEY LYDE CAC, CADC
76 JACKSON ST
TORRINGTON, CT 06790-6202
Phone number: 860-491-8511
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