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1861632507
MICHAEL GRAHAM
WATERBURY, CT
NPI
1861632507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 006958)
Enumeration Date
2009-02-20
Last Update Date
2011-04-09
Business Address
Mr. MICHAEL GRAHAM LCSW
796 HIGHLAND AVENUE
WATERBURY, CT 06708-4710
Phone number: 203-757-0151
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Mailing Address
Mr. MICHAEL GRAHAM LCSW
796 HIGHLAND AVE SECOND FLOOR
WATERBURY, CT 06708-4710
Phone number: 203-757-0151
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