| Td Forensics Llc | |
|
83 Halls Rd Suite 203 Old Lyme CT 06371-4409 | |
| (860) 499-0663 | |
| Not Available |
| Full Name | Td Forensics Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 83 Halls Rd, Old Lyme, Connecticut |
| Authorized Official Name and Position | Tabatha Ann Maiorano (OWNER) |
| Authorized Official Contact | 8604990663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Td Forensics Llc Po Box 471 Colchester CT 06415-0471 Ph: (860) 499-0663 | Td Forensics Llc 83 Halls Rd Suite 203 Old Lyme CT 06371-4409 Ph: (860) 499-0663 |
| NPI Number | 1902293780 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902293780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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