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1780748897
JOSEPH W GREEN
NEW LONDON, CT
NPI
1780748897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000716)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- JOSEPH W GREEN LADC
165 STATE ST SUITE 200
NEW LONDON, CT 06320-6397
Phone number: 860-443-0036
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Mailing Address
-- JOSEPH W GREEN LADC
165 STATE ST SUITE 200
NEW LONDON, CT 06320-6397
Phone number: 860-443-0036
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