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DEAN AVERY MSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1104018670

Individual Registrant:
 DEAN  AVERY MSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7 VAUXHALL ST  NEW LONDON, CT 06320-5711 US
Tel: 860-442-2797  Fax: --

Contact information for business:
5 SCHOOL ST  MYSTIC, CT 06355-2717 US
Tel: 860-235-4534  Fax: --

Registration Information:
NPI: 1104018670
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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