EDWARD EDGAR

WATERBURY, CT
NPI1447467428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  000374)
Enumeration Date2007-05-17
Last Update Date2012-01-27
Business Address
-- EDWARD EDGAR L.A.D.C.
525 WOLCOTT ST
WATERBURY, CT 06705-1240
Phone number: 203-596-7870
Mailing Address
-- EDWARD EDGAR L.A.D.C.
525 WOLCOTT ST
WATERBURY, CT 06705-1240
Phone number: 203-596-7870
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