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1942575162
ROOSEVELT COLLINS
WATERBURY, CT
NPI
1942575162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-21
Last Update Date
2013-09-03
Business Address
Mr. ROOSEVELT COLLINS B.A.
141 EAST MAIN ST.
WATERBURY, CT 06702-1701
Phone number: 203-574-9000
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Mailing Address
Mr. ROOSEVELT COLLINS B.A.
141 E MAIN ST UITE 402
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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