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1730209495
MICHAEL REYNOLDS
WATERBURY, CT
NPI
1730209495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000538)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- MICHAEL REYNOLDS Cadac
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 203-755-1143
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Mailing Address
-- MICHAEL REYNOLDS Cadac
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 203-755-1143
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