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Individual
TARA ANN FORNUTO
Active
Individual
TARA ANN FORNUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5088
CT
Other
Enumeration date
09/26/2019
Last updated
06/20/2024
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