Individual
MRS. ADA ELY TAVAREZ-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Mailing address
4 JUNIPER RDG, TRUMBULL, CT 06611-5305
(646) 400-1339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6333
CT
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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