Individual
TANISHA ALEXIS CRANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
Mailing address
730 GEORGE ST APT 112, NEW HAVEN, CT 06511-5225
(203) 909-4957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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