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1437703873
MICHAEL ANTHONY BLACK
MIDDLETOWN, CT
NPI
1437703873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
Mr. MICHAEL ANTHONY BLACK MS
230 MAIN STREET EXT
MIDDLETOWN, CT 06457-4470
Phone number: 860-343-5303
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Mailing Address
Mr. MICHAEL ANTHONY BLACK MS
230 MAIN STREET EXT
MIDDLETOWN, CT 06457-4470
Phone number: 860-343-5303
Copy
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