Individual
JULIA MADISON TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1552
(888) 793-3500
Mailing address
304 STAFFORD AVE, BRISTOL, CT 06010-4617
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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