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1821198508
THOMAS JOSEPH MACIOLEK
GROTON, CT
NPI
1821198508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 001048)
Enumeration Date
2006-09-23
Last Update Date
2007-07-08
Business Address
Dr. THOMAS JOSEPH MACIOLEK Ph.D.
616 GOLD STAR HWY
GROTON, CT 06340-6221
Phone number: 860-449-0200
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Mailing Address
Dr. THOMAS JOSEPH MACIOLEK Ph.D.
616 GOLD STAR HWY
GROTON, CT 06340-6221
Phone number: 860-449-0200
Copy
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