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1922252352
TIMOTHY LEE CUNNINGHAM
WATERBURY, CT
NPI
1922252352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 000073)
Enumeration Date
2008-11-12
Last Update Date
2016-07-26
Business Address
MR. TIMOTHY LEE CUNNINGHAM
141 E MAIN ST WATERBURY CLINICAL SERVICES
WATERBURY, CT 06702-2310
Phone number: 203-756-7287
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Mailing Address
MR. TIMOTHY LEE CUNNINGHAM
141 E MAIN ST 4TH FLOOR ADMINISTRATION
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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