Individual
ELDON JOHN COLONIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 EDISON RD, ORANGE, CT 06477-3602
(203) 530-1055
Mailing address
200 EDISON RD, ORANGE, CT 06477-3602
(203) 530-1055
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
CT
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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