Individual
TANISHA RAWLINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 MAIN ST, NEWINGTON, CT 06111-2471
(203) 464-8479
Mailing address
827 MAIN ST, NEWINGTON, CT 06111-2471
(203) 464-8479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7649
CT
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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