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Individual

EDWIN DEJESUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
31 PEYTON PL, MIDDLETOWN, CT 06457-2339
(860) 716-3081
Mailing address
31 PEYTON PL, MIDDLETOWN, CT 06457-2339
(860) 716-3081

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003609
CT

Other

Enumeration date
10/27/2019
Last updated
10/27/2019
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