Provider Information for 1477676872
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Mr. JAMES D VOTAW LPC
Sex: Male
NPI: 1477676872
Last Updated: 2015-06-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1477676872 | ||||||||
| Enumeration Date | 2007-04-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 132 MANSFIELD AVE WILLIMANTIC, CT 06226-2027 United States Phone: 860-456-2261 | Fax:860-779-5437 | ||||||||
| Primary Practice Address | 132 MANSFIELD AVE WILLIMANTIC, CT 06226-2027 United States Phone: 860-456-2261 | Fax:860-779-5437 | ||||||||
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