RUSSELL T KLOTER

VERNON, CT
NPI1821378126
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  000784)
Enumeration Date2011-08-18
Last Update Date2011-08-18
Business Address
Mr. RUSSELL T KLOTER LADC
60 ELM ST
VERNON, CT 06066-3240
Phone number: 860-875-0292
Mailing Address
Mr. RUSSELL T KLOTER LADC
60 ELM ST
VERNON, CT 06066-3240
Phone number: 860-875-0292
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