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1871018390
RICHARD MATTHEW CARRAWAY
FAIRFIELD, CT
NPI
1871018390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 7137)
Enumeration Date
2017-08-05
Last Update Date
2022-07-21
Business Address
RICHARD MATTHEW CARRAWAY
117 CARLYNN DRIVE
FAIRFIELD, CT 06824
Phone number: 203-228-4208
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Mailing Address
RICHARD MATTHEW CARRAWAY
117 CARLYNN DR
FAIRFIELD, CT 06824-6812
Phone number: 203-228-4208
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