Individual
MISS TANISHA SONJIA BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
191 WHALLEY AVE APT 158, NEW HAVEN, CT 06511-3220
(203) 214-6409
Mailing address
191 WHALLEY AVE APT 158 NEW HAVEN, NEW HAVEN, CT 06511
(203) 214-6409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CT
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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