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Organization
ELAINE TAVANI, MS, LMFT, LLC
Active
Organization
ELAINE TAVANI, MS, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE RENEE TAVANI MS, LMFT (SOLE MEMBER)
(860) 916-0204
Entity
Organization
Contact information
Practice address
41C NEW LONDON TPKE, GLASTONBURY, CT 06033-4206
(860) 916-0204
Mailing address
41C NEW LONDON TPKE, GLASTONBURY, CT 06033-4206
(860) 916-0204
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001521
CT
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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