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1871344481
RANDALL REGINALD RISSING
HARTFORD, CT
NPI
1871344481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
RANDALL REGINALD RISSING LMSW
682 PROSPECT AVE # 103
HARTFORD, CT 06105-4238
Phone number: 860-663-8131
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Mailing Address
RANDALL REGINALD RISSING LMSW
91 COUNTRY SQUIRE DR UNIT G
CROMWELL, CT 06416-2528
Phone number: 860-857-8129
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