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1023578788
KRISTEN SCHULTZ TASSIELLO
DERBY, CT
NPI
1023578788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 5133)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
KRISTEN SCHULTZ TASSIELLO
90 SODOM LN
DERBY, CT 06418-2608
Phone number: 475-439-9639
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Mailing Address
KRISTEN SCHULTZ TASSIELLO
90 SODOM LN
DERBY, CT 06418-2608
Phone number: 475-439-9639
Copy
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