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Individual

JULIE TEDESCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
664 PROSPECT AVENUE, WEST HARTFORD, CT 06117
(860) 309-7730
Mailing address
664 PROSPECT AVE, HARTFORD, CT 06105-4203
(860) 309-7730

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002557
CT

Other

Enumeration date
07/25/2014
Last updated
07/16/2015
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