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1407816101
JAY ROBERT SHERIDAN
MANCHESTER, CT
NPI
1407816101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 005714)
Enumeration Date
2006-03-25
Last Update Date
2015-10-06
Business Address
-- JAY ROBERT SHERIDAN LCSW
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 860-646-1222
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Mailing Address
-- JAY ROBERT SHERIDAN LCSW
71 HAYNES ST BH ADMINISTRATION DEPARTMENT
MANCHESTER, CT 06040-4131
Phone number: 860-533-3494
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