Individual
MANDY TIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
119C GRISWOLD ST STE 202, GLASTONBURY, CT 06033-1099
(860) 918-7946
(860) 735-5842
Mailing address
119C GRISWOLD ST STE 202, GLASTONBURY, CT 06033-1099
(860) 918-7946
(860) 735-5842
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2402
CT
Other
Enumeration date
09/10/2020
Last updated
08/21/2023
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