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1104642487
TIFFANY LAJARA
BRIDGEPORT, CT
NPI
1104642487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CT 228588899)
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
TIFFANY LAJARA WAVER PROVIDER
92 LEWIS ST
BRIDGEPORT, CT 06605-1224
Phone number: 475-999-4284
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Mailing Address
TIFFANY LAJARA WAVER PROVIDER
92 LEWIS ST
BRIDGEPORT, CT 06605-1224
Phone number: 475-999-4284
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