Individual
MRS. TAYLOR MARIE TACINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
98 YORK ST, NEW HAVEN, CT 06511-5602
(203) 843-5624
Mailing address
705 LAKE AVE UNIT 24, BRISTOL, CT 06010-7367
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002087
CT
Other
Enumeration date
07/16/2019
Last updated
07/25/2019
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