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1568916864
RICARDO A DESOUZA
WATERBURY, CT
NPI
1568916864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-04
Last Update Date
2016-08-04
Business Address
-- RICARDO A DESOUZA
402 E MAIN ST WATERBURY OP BEHAVIORAL HEALTH SERVICES IVP FAMILY
WATERBURY, CT 06702-1701
Phone number: 203-755-1143
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Mailing Address
-- RICARDO A DESOUZA
141 E MAIN ST 4TH FLR ADMINISTRATION
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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