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1861050320
JEWELL CODY
NEW HAVEN, CT
NPI
1861050320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
JEWELL CODY
171 LEXINGTON AVE
NEW HAVEN, CT 06513-4425
Phone number: 203-606-3184
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Mailing Address
JEWELL CODY
171 LEXINGTON AVE
NEW HAVEN, CT 06513-4425
Phone number: 203-606-3184
Copy
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