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1477121341
JASON C BEDFORD
NORTH HAVEN, CT
NPI
1477121341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 001409)
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
Mr. JASON C BEDFORD LADC
605 WASHINGTON AVE
NORTH HAVEN, CT 06473-1123
Phone number: 203-836-6570
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Mailing Address
Mr. JASON C BEDFORD LADC
168 NORTONTOWN RD
MADISON, CT 06443-1924
Phone number: 203-836-6570
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