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1861433005
ROSEANNE MASCOLO
BRISTOL, CT
NPI
1861433005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000559)
Enumeration Date
2006-06-09
Last Update Date
2007-07-11
Business Address
-- ROSEANNE MASCOLO LADC
440D NORTH MAIN ST
BRISTOL, CT 06010
Phone number: 860-314-2052
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Mailing Address
-- ROSEANNE MASCOLO LADC
PO BOX 2828
BRISTOL, CT 06011
Phone number: 860-585-3906
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