Individual
CAROLYN TIERNEY LEZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N MAIN ST STE 260, WEST HARTFORD, CT 06117-2508
(816) 203-0091
Mailing address
345 N MAIN ST STE 260, WEST HARTFORD, CT 06117-2508
(203) 816-0091
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
06/30/2024
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