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Organization
TENDER LUXE THERAPY
Active
Organization
TENDER LUXE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJANAE CARPENTER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(203) 441-0413
Entity
Organization
Contact information
Practice address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
(203) 441-0413
Mailing address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014714
DPH
CT
Enumeration date
09/09/2025
Last updated
09/09/2025
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