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Individual

MICHELLE TARDETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
419 WHALLEY AVE STE 300, NEW HAVEN, CT 06511-3019
(203) 285-6475
Mailing address
10 PROVIDENCE ST, WETHERSFIELD, CT 06109-1320
(860) 331-6092

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4406
CT

Other

Enumeration date
09/22/2020
Last updated
09/22/2020
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