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Individual

TARA MOSENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
64 DOUBLE HILL RD, BETHLEHEM, CT 06751-1101
(203) 884-8652
Mailing address
103 GILBERT LN, SOUTH WINDSOR, CT 06074-3753

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12426
CT

Other

Enumeration date
10/06/2023
Last updated
10/06/2023
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