TAVIA BRISCOE

GLASTONBURY, CT
NPI1073965661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  010423)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2016-07-07
Last Update Date2020-06-10
Business Address
TAVIA BRISCOE
33 PRATT ST
GLASTONBURY, CT 06033-1014
Phone number: 860-731-5522
Mailing Address
TAVIA BRISCOE
33 PRATT ST
GLASTONBURY, CT 06033-1014
Phone number: 860-731-5522
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