Individual
CHANTAUL TAMAR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
110 NATIONAL DR, GLASTONBURY, CT 06033-4371
(860) 430-5515
Mailing address
110 NATIONAL DR, GLASTONBURY, CT 06033-4371
(860) 430-5515
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001841
CT
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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