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1790975092
DEMETRIOS NICOLAS KOSTAS
WALLINGFORD, CT
NPI
1790975092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 005822)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
Mr. DEMETRIOS NICOLAS KOSTAS LCSW
185 CENTER STREET SUITE B
WALLINGFORD, CT 06492
Phone number: 203-265-4580
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Mailing Address
Mr. DEMETRIOS NICOLAS KOSTAS LCSW
193 POND HILL ROAD
WALLINGFORD, CT 06492
Phone number:
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