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1982663647
MARK WILLIAM JAY
FARMINGTON, CT
NPI
1982663647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 003395)
Enumeration Date
2006-03-21
Last Update Date
2007-12-17
Business Address
Mr. MARK WILLIAM JAY LCSW
1031 FARMINGTON AVE
FARMINGTON, CT 06032
Phone number: 860-677-2550
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Mailing Address
Mr. MARK WILLIAM JAY LCSW
1031 FARMINGTON AVE
FARMINGTON, CT 06032
Phone number: 860-677-2550
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