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1740651884
MICHAEL O'MALLEY
BRIDGEPORT, CT
NPI
1740651884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 008534)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
-- MICHAEL O'MALLEY LCSW
982 E MAIN ST
BRIDGEPORT, CT 06608-1913
Phone number: 203-696-3260
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Mailing Address
-- MICHAEL O'MALLEY LCSW
575 ELLSWORTH ST APT 117
BRIDGEPORT, CT 06605-2516
Phone number: 203-850-3130
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