Individual
TANYA MIKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
52 PINE ST, WATERBURY, CT 06710-2169
(203) 756-7284
(203) 596-2789
Mailing address
52 PINE ST, WATERBURY, CT 06710-2169
(203) 756-7284
(203) 596-2789
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
2152
CT
Other
Enumeration date
03/27/2012
Last updated
02/10/2017
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