Organization
EDWARD BILLIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD BILLIE I (THERAPUETIC MENTOR)
(860) 833-3027
Entity
Organization
Contact information
Practice address
27 EAST ST, APT 2, HARTFORD, CT 06120
(860) 833-3027
Mailing address
27 EAST ST, APT 2, HARTFORD, CT 06120-2651
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CT
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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