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1164192001
TARA LYNN RYAN-DEDOMINICIS
BRIDGEPORT, CT
NPI
1164192001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 011683)
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
Dr. TARA LYNN RYAN-DEDOMINICIS
982 E MAIN ST
BRIDGEPORT, CT 06608-1913
Phone number: 203-696-3260
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Mailing Address
Dr. TARA LYNN RYAN-DEDOMINICIS
982 E MAIN ST
BRIDGEPORT, CT 06608-1913
Phone number: 203-696-3260
Copy
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