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1851670046
SAMUEL DIAZ
HARTFORD, CT
NPI
1851670046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-08-05
Last Update Date
2011-08-05
Business Address
Mr. SAMUEL DIAZ M.S.
45 WARDSWORTH ST.
HARTFORD, CT 06106
Phone number: 860-527-1124
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Mailing Address
Mr. SAMUEL DIAZ M.S.
45 WADSWORTH ST
HARTFORD, CT 06106-7108
Phone number: 860-527-1124
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