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1861663619
MICHAEL GLENDON
BRIDGEPORT, CT
NPI
1861663619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-20
Last Update Date
2008-03-20
Business Address
-- MICHAEL GLENDON
1046 FAIRFIELD AVENUE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6054
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Mailing Address
-- MICHAEL GLENDON
1046 FAIRFIELD AVENUE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6054
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