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1386180768
TARIQ M ABDULAZIZ
WATERBURY, CT
NPI
1386180768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 1227)
Enumeration Date
2017-01-10
Last Update Date
2017-03-13
Business Address
Dr. TARIQ M ABDULAZIZ Ph.D., LADC
91 SCHRAFFTS DR
WATERBURY, CT 06705-3271
Phone number: 860-377-0641
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Mailing Address
Dr. TARIQ M ABDULAZIZ Ph.D., LADC
PO BOX 907
EAST WINDSOR, CT 06088-0907
Phone number: 860-377-0641
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