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1548349541
MARK WILLIAM AUGUSTINE
WATERBURY, CT
NPI
1548349541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CT CT000994)
Enumeration Date
2006-11-02
Last Update Date
2014-02-18
Business Address
-- MARK WILLIAM AUGUSTINE LMFT
70 PINE ST
WATERBURY, CT 06710-2169
Phone number: 203-756-7287
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Mailing Address
-- MARK WILLIAM AUGUSTINE LMFT
70 PINE ST
WATERBURY, CT 06710-2169
Phone number: 203-756-7287
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