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SHIM ADADEVOH

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598994386

Individual Registrant:
 SHIM  ADADEVOH 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
587 E MIDDLE TPKE  MANCHESTER, CT 06040-3731 US
Tel: 860-646-3888  Fax: 860-645-4132

Contact information for business:
587 E MIDDLE TPKE  MANCHESTER, CT 06040-3731 US
Tel: 860-646-3888  Fax: 860-645-4132

Registration Information:
NPI: 1598994386
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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