Provider First Line Business Practice Location Address:
4 MIDLAND AVE
Provider Second Line Business Practice Location Address:
CONNECTICUT COUNSELING
Provider Business Practice Location Address City Name:
WATERBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-755-8874
Provider Business Practice Location Address Fax Number:
203-597-9570
Provider Enumeration Date:
12/19/2005