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1356786719
PRESTON MAYNARD
WEST HAVEN, CT
NPI
1356786719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 007489)
Enumeration Date
2013-04-30
Last Update Date
2013-04-30
Business Address
Mr. PRESTON MAYNARD LCSW
114-152 BOSTON POST ROAD
WEST HAVEN, CT 06516
Phone number: 203-479-8041
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Mailing Address
Mr. PRESTON MAYNARD LCSW
114-152 ORANGE AVENUE
WEST HAVEN, CT 06516
Phone number: 203-479-8041
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