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1861984122
JAIME MORALES
PORTLAND, CT
NPI
1861984122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 001286)
Enumeration Date
2018-06-03
Last Update Date
2018-06-03
Business Address
JAIME MORALES LADC
1 DOGWOOD DR
PORTLAND, CT 06480-1503
Phone number: 203-246-0221
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Mailing Address
JAIME MORALES LADC
1 DOGWOOD DR
PORTLAND, CT 06480-1503
Phone number: 203-246-0221
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