Individual
ALEA TARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 SUFFIELD MEADOW DR, SUFFIELD, CT 06078
(413) 561-8711
Mailing address
58 SUFFIELD MEADOW DR, SUFFIELD, CT 06078-1968
(413) 561-8711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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