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1770932139
RYAN GREALIS
HARTFORD, CT
NPI
1770932139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA MA79996167)
Enumeration Date
2016-06-07
Last Update Date
2016-06-07
Business Address
-- RYAN GREALIS
55 FISHFRY ST
HARTFORD, CT 06120-1203
Phone number: 203-635-4644
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Mailing Address
-- RYAN GREALIS
125 FRANKLIN ST
FEEDING HILLS, MA 01030-2309
Phone number:
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