Individual
TARA EILEEN LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 788-4402
Mailing address
32 HOOP POLE HILL RD, WOODBURY, CT 06798-1923
(203) 788-4402
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AP2831
ME
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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