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1497768071
JEROME S CZECH
NEW HAVEN, CT
NPI
1497768071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: CT 000308)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- JEROME S CZECH lcsw
20 YORK STREET
NEW HAVEN, CT 06510
Phone number: 203-688-9772
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Mailing Address
-- JEROME S CZECH lcsw
54 TURTLE BAY DR
BRANFORD, CT 06405-4975
Phone number: 203-688-9773
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