Individual
ELIZABETH TIRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CHURCH STREET, WATERBURY, CT 06702
(203) 755-1196
(203) 575-9675
Mailing address
35-I PEARL LAKE ROAD, WATERBURY, CT 06706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001092
CT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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