SHAWN BAZEMORE

WATERBURY, CT
NPI1790049583
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-06-27
Last Update Date2012-06-27
Business Address
-- SHAWN BAZEMORE
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-575-0641
Mailing Address
-- SHAWN BAZEMORE
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-575-0641