ROOSEVELT COLLINS

WATERBURY, CT
NPI1942575162
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-03-21
Last Update Date2013-09-03
Business Address
MR. ROOSEVELT COLLINS B.A.
141 EAST MAIN ST.
WATERBURY, CT 06702-1701
Phone number: 203-574-9000
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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