Individual
TUNNESIA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 STATE ST STE 201, NEW LONDON, CT 06320-6112
(860) 449-4420
Mailing address
84 WILLIAMS ST, NEW LONDON, CT 06320-5247
(860) 449-4420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3666
CT
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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