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Jill Talbot

Marriage & Family Therapist in Riverside, CT. Individual provider (NPI-1).

NPI number1962242594
StatusActive
Last updated in NPPESMay 30, 2024

Details

NPI
1962242594
Entity type
Individual (NPI-1)
Name
Mrs. Jill Talbot
Sex
Female
Sole proprietor
Yes
Enumeration date
May 30, 2024
Certification date
May 30, 2024
Last updated
May 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist3396CTYes

Practice location

36 Lake Dr S
Riverside, CT 06878-2024

Phone 312-405-0140

Mailing address

36 Lake Dr S
Riverside, CT 06878-2024

Phone 312-405-0140

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