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1417353996
MATTHEW CLARK
WINDSOR, CT
NPI
1417353996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: CT 002674)
Enumeration Date
2014-11-12
Last Update Date
2017-01-05
Business Address
MATTHEW CLARK
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095-2700
Phone number: 860-607-3235
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Mailing Address
MATTHEW CLARK
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095-2700
Phone number: 860-607-3235
Copy
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