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Individual

MS. TIFFANI WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
458 GRAND AVE, NEW HAVEN, CT 06513-3856
(203) 752-1212
Mailing address
361 BEECHMONT AVE, BRIDGEPORT, CT 06606-3701
(203) 615-2666

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
047515251
CT

Other

Enumeration date
02/26/2015
Last updated
03/23/2016
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