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1487624516
MICHAEL EDWARD CARROLL
WATERBURY, CT
NPI
1487624516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 000987)
Enumeration Date
2006-01-23
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL EDWARD CARROLL LPC
88 GRANDVIEW AVE CHILDREN/ADOL
WATERBURY, CT 06708-2509
Phone number: 203-573-7121
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Mailing Address
Mr. MICHAEL EDWARD CARROLL LPC
88 GRANDVIEW AVE
WATERBURY, CT 06708-2509
Phone number: 203-573-7121
Copy
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