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1073965661
TAVIA BRISCOE
GLASTONBURY, CT
NPI
1073965661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 010423)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-07-07
Last Update Date
2020-06-10
Business Address
TAVIA BRISCOE
33 PRATT ST
GLASTONBURY, CT 06033-1014
Phone number: 860-731-5522
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Mailing Address
TAVIA BRISCOE
33 PRATT ST
GLASTONBURY, CT 06033-1014
Phone number: 860-731-5522
Copy
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