Individual
ANA TANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 ELM ST, WEST HAVEN, CT 06516-3879
(203) 903-7908
Mailing address
10 SUMMIT AVE FL 1, SHELTON, CT 06484-4039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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