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1689744062
BRIAN GARRETT LANE
BLOOMFIELD, CT
NPI
1689744062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 6808)
Enumeration Date
2006-11-09
Last Update Date
2015-07-31
Business Address
Mr. BRIAN GARRETT LANE LCSW
699 BLOOMFIELD AVE
BLOOMFIELD, CT 06002-2462
Phone number: 860-392-9990
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Mailing Address
Mr. BRIAN GARRETT LANE LCSW
699 BLOOMFIELD AVE
BLOOMFIELD, CT 06002-2462
Phone number: 860-392-9990
Copy
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