Organization
GILLIAN TANZ LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILLIAN TANZ LCSW (LCSW)
(203) 442-4144
Entity
Organization
Contact information
Practice address
115 FILLOW ST APT 3, NORWALK, CT 06850-2842
(203) 442-4144
Mailing address
116 MILE COMMON RD, EASTON, CT 06612-1506
(203) 442-4144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9027
CT
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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