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1821055716
JONATHAN A. LUYSTERBORGHS
MIDDLETOWN, CT
NPI
1821055716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 004330)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN A. LUYSTERBORGHS L.C.S.W.
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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Mailing Address
Mr. JONATHAN A. LUYSTERBORGHS L.C.S.W.
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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