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Individual

DOUGLAS P CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC

Contact information

Practice address
142 GRIGGS ST, MORRIS FOUNDATION, INC-THERAPEUTIC CENTER, WATERBURY, CT 06704-3110
(203) 574-1419
(203) 578-4180
Mailing address
142 GRIGGS ST, MORRIS FOUNDATION, INC-THERAPEUTIC CENTER, WATERBURY, CT 06704-3110
(203) 574-1419
(203) 578-4180

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
11/04/2009
Last updated
11/04/2009
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