VIRGINIA TAVERNER

NEW HAVEN, CT
NPI1174961437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  000988)
Enumeration Date2013-06-10
Last Update Date2017-10-02
Business Address
Ms. VIRGINIA TAVERNER LADC
54 E RAMSDELL ST
NEW HAVEN, CT 06515-1140
Phone number: 203-337-9943
Mailing Address
Ms. VIRGINIA TAVERNER LADC
1 LONG WHARF DR
NEW HAVEN, CT 06511-5991
Phone number: 203-781-4600
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