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1629178348
MATURIN FRYE WALDO
NEW LONDON, CT
NPI
1629178348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 007236)
Enumeration Date
2006-09-23
Last Update Date
2016-02-24
Business Address
MR. MATURIN FRYE WALDO LCSW-R
21 MONTAUK AVE
NEW LONDON, CT 06320-4906
Phone number: 860-271-4700
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Mailing Address
MR. MATURIN FRYE WALDO LCSW-R
PO BOX 390
NEW LONDON, CT 06320-0390
Phone number: 860-271-4700
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