Individual
MS. TYFFANI DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 528-1359
Mailing address
235 MAIN ST APT 3C3, EAST HARTFORD, CT 06118-3626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
010621
CT
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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