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1609316561
JEFFREY STICKLES
GLASTONBURY, CT
NPI
1609316561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 1068)
Enumeration Date
2017-02-26
Last Update Date
2017-02-26
Business Address
-- JEFFREY STICKLES LADC
240 CAVAN LN
GLASTONBURY, CT 06033-2405
Phone number: 203-376-9265
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Mailing Address
-- JEFFREY STICKLES LADC
240 CAVAN LN
GLASTONBURY, CT 06033-2405
Phone number: 203-376-9265
Copy
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