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1902236854
JOSE MONTALVO
NEW HAVEN, CT
NPI
1902236854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 000667)
Enumeration Date
2013-11-13
Last Update Date
2013-11-13
Business Address
-- JOSE MONTALVO
419 WHALLEY AVE
NEW HAVEN, CT 06511-3019
Phone number: 203-285-6475
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Mailing Address
-- JOSE MONTALVO
38 OLD RIDGEBURY RD
DANBURY, CT 06810-5128
Phone number: 203-792-4515
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