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1588440432
CORYDON ALI AWWA
GROTON, CT
NPI
1588440432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CT 003189)
Enumeration Date
2023-09-06
Last Update Date
2023-09-06
Business Address
Mr. CORYDON ALI AWWA LMFT
616 GOLD STAR HIGHWAY
GROTON, CT 06340
Phone number: 860-437-6914
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Mailing Address
Mr. CORYDON ALI AWWA LMFT
22 CASE STREET
NORWICH, CT 06360
Phone number: 860-437-6914
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