Individual
MIA LALEH TABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 SYCAMORE WAY, BRANFORD, CT 06405-6518
(203) 483-2645
Mailing address
127 WASHINGTON AVE, NORTH HAVEN, CT 06473-1715
(203) 446-9739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CT
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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