Provider Information for 1689636045
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RICHARD E AMARAL LCSW
Sex: Male
NPI: 1689636045
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1689636045 | ||||||||
| Enumeration Date | 2006-04-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 281 MAIN STREET EAST HARTFORD, CT 06118 United States Phone: 860-895-3015 | Fax:860-569-5905 | ||||||||
| Primary Practice Address | 281 MAIN STREET EAST HARTFORD, CT 06118 United States Phone: 960-895-3015 | Fax:860-569-5905 | ||||||||
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