Individual
TIFFANY LAJARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WAVER PROVIDER
Contact information
Practice address
92 LEWIS ST, BRIDGEPORT, CT 06605-1224
(475) 999-4284
Mailing address
92 LEWIS ST, BRIDGEPORT, CT 06605-1224
(475) 999-4284
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
228588899
CT
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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