Individual
MISS DAVID A MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 CHURCH ST, WATERBURY, CT 06702-2103
(203) 755-1196
Mailing address
220 CURTIS ST, MERIDEN, CT 06450-5912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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