Individual
MARTHA AYALA-TANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 TUCKER ST, DANBURY, CT 06810-5133
(917) 573-5251
Mailing address
40 TUCKER ST, DANBURY, CT 06810-5133
(917) 573-5251
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007333
CT
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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