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Individual

ANISA K. TALIERCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
350 CENTER ROCK GRN STE 9, OXFORD, CT 06478-3170
(203) 951-1858
Mailing address
7 TRIANGLE ST, NORWALK, CT 06855-1627
(203) 814-2783

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4037
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4037
MASTER LEVEL SOCIAL WORKER LICENSE
CT
Enumeration date
03/28/2020
Last updated
03/28/2020
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