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1740244763
PATRICK ROSS SCOTT
MANCHESTER, CT
NPI
1740244763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000732)
Enumeration Date
2006-04-14
Last Update Date
2009-07-29
Business Address
-- PATRICK ROSS SCOTT LADC
150 N MAIN ST
MANCHESTER, CT 06042-2003
Phone number: 860-646-1222
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Mailing Address
-- PATRICK ROSS SCOTT LADC
94 NORTH ST
MANCHESTER, CT 06042-2023
Phone number: 860-643-8019
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