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1639546005
RYAN MACDONOUGH
EAST HARTFORD, CT
NPI
1639546005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 9212)
Enumeration Date
2015-09-01
Last Update Date
2015-09-01
Business Address
-- RYAN MACDONOUGH
281 MAIN ST
EAST HARTFORD, CT 06118-1823
Phone number: 860-291-1309
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Mailing Address
-- RYAN MACDONOUGH
281 MAIN ST
EAST HARTFORD, CT 06118-1823
Phone number: 860-291-1309
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