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1568855385
JEFFREY EDWARD MATYAS
NORWICH, CT
NPI
1568855385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 001111)
Enumeration Date
2015-03-18
Last Update Date
2015-03-18
Business Address
JEFFREY EDWARD MATYAS LADC
47 TOWN ST
NORWICH, CT 06360
Phone number: 860-892-7042
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Mailing Address
JEFFREY EDWARD MATYAS LADC
8 GREENWAY RD
NEW LONDON, CT 06320-2909
Phone number: 860-912-3743
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