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Individual

MR. MICHAEL E GARRARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC, SCPG, CAC, SCC

Contact information

Practice address
142 GRIGGS ST, WATERBURY, CT 06704-3110
(203) 574-1419
(203) 578-4180
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
621
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3803
SCCD, SCPG, CAC
CT
Enumeration date
05/03/2007
Last updated
02/24/2014
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