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1992170146
KYLE L ELDER
WATERBURY, CT
NPI
1992170146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-13
Last Update Date
2015-12-13
Business Address
-- KYLE L ELDER
141 E MAIN ST WATERBURY CLINICIAL SERVICE
WATERBURY, CT 06702-2310
Phone number: 203-575-0466
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Mailing Address
-- KYLE L ELDER
141 E MAIN ST 4TH FLOOR ADMINISTRATION
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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