Mia Laleh Tabib

NPI #1003432733 in Branford, Connecticut

Provider Information

NPI Number: 1003432733
Entity Type: Individual
Name: Mia Laleh Tabib
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 18, 2020
Last Updated: Jun 18, 2020

Practice Location

Address: 13 SYCAMORE WAY
City: Branford
State: Connecticut
ZIP Code: 06405-6518
Phone: (203) 483-2645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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