RICHARD IRVIN CLOSS

BRIDGEPORT, CT
NPI1457523409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  000902)
Enumeration Date2008-03-31
Last Update Date2011-09-23
Business Address
-- RICHARD IRVIN CLOSS LADC
1046 FAIRFIELD AVENUE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6054
Mailing Address
-- RICHARD IRVIN CLOSS LADC
1046 FAIRFIELD AVENUE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6054
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