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1922878867
BEN JOHN STOLLER
STAMFORD, CT
NPI
1922878867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 1536)
Enumeration Date
2024-01-02
Last Update Date
2024-01-02
Business Address
BEN JOHN STOLLER LADC
119 MAIN ST
STAMFORD, CT 06901-2818
Phone number: 203-300-4009
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Mailing Address
BEN JOHN STOLLER LADC
15 OLD PURDY STATION RD
NEWTOWN, CT 06470-2462
Phone number: 203-300-4009
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