Individual
TIFFANY LEE ANDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 747-9964
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 747-9964
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8574
CT
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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