Individual
TANAJAH SIMONE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 533-3434
Mailing address
15 FOREST ST UNIT K, MANCHESTER, CT 06040-5955
(860) 281-8484
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9733
CT
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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