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1730251240
KENDALL RICHARDSON
WATERBURY, CT
NPI
1730251240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000483)
Enumeration Date
2006-11-14
Last Update Date
2011-12-14
Business Address
Mr. KENDALL RICHARDSON LADC
228 MEADOW ST SUITE 201
WATERBURY, CT 06702-1807
Phone number: 203-597-0643
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Mailing Address
Mr. KENDALL RICHARDSON LADC
38 OLD RIDGEBURY RD
DANBURY, CT 06810-5128
Phone number: 203-792-4515
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