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1710505284
ALFRED LEVI GREENLEAF
BRISTOL, CT
NPI
1710505284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
MR. ALFRED LEVI GREENLEAF
51 MAHEU ST
BRISTOL, CT 06010-3051
Phone number: 860-620-2674
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Mailing Address
MR. ALFRED LEVI GREENLEAF
PO BOX 3032
BRISTOL, CT 06011-3032
Phone number: 860-620-2674
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