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Individual
TAVIA-SIMONE BASCUINE
Active
Individual
TAVIA-SIMONE BASCUINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
58.010762
CT
101YM0800X
Mental Health Counselor
MSW.002363
CT
Other
Enumeration date
08/19/2015
Last updated
08/16/2022
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