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Individual

MS. JACLYN EMILIA TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., COUNSELING

Contact information

Practice address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
(860) 527-1124
(860) 724-2539
Mailing address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
(860) 527-1124
(860) 724-2539

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/16/2015
Last updated
06/28/2016
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