Individual
CLARA TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CHAPEL ST STE 1400, NEW HAVEN, CT 06510-2814
(203) 787-2111
(203) 397-9077
Mailing address
64 BURKE ST, HAMDEN, CT 06514-4818
(203) 645-2863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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