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1356840953
MARK AUSTIN
MANCHESTER, CT
NPI
1356840953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 009222)
Enumeration Date
2018-02-08
Last Update Date
2018-02-08
Business Address
MARK AUSTIN LCSW
155 COUGAR DR
MANCHESTER, CT 06040-6380
Phone number: 860-794-7497
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Mailing Address
MARK AUSTIN LCSW
155 COUGAR DR
MANCHESTER, CT 06040-6380
Phone number: 860-794-7497
Copy
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