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1366805616
LARUE MCNISH-SMITH
SOUTHBURY, CT
NPI
1366805616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 1183)
Enumeration Date
2016-04-04
Last Update Date
2016-04-04
Business Address
-- LARUE MCNISH-SMITH LADC
100 MAIN ST N SUITE 725
SOUTHBURY, CT 06488-3840
Phone number: 203-681-1212
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Mailing Address
-- LARUE MCNISH-SMITH LADC
100 MAIN ST N SUITE 725
SOUTHBURY, CT 06488-3840
Phone number: 203-681-1212
Copy
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