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1376030668
IAN FRANCIS MACDONALD
MANCHESTER, CT
NPI
1376030668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 3284)
Enumeration Date
2018-04-23
Last Update Date
2018-04-23
Business Address
IAN FRANCIS MACDONALD
317 N MAIN ST
MANCHESTER, CT 06042-2007
Phone number: 860-643-2101
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Mailing Address
IAN FRANCIS MACDONALD
26 WHEELER RD
WETHERSFIELD, CT 06109-3364
Phone number: 860-681-1180
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