Individual
GRACE TALAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 ELLINGTON RD, BUILDING 3, SOUTH WINDSOR, CT 06074-2746
(860) 798-6902
Mailing address
1750 ELLINGTON RD, BUILDING 3, SOUTH WINDSOR, CT 06074-2746
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001729
CT
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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