Ryan Tacy

NPI #1053870212 in Willimantic, Connecticut

Provider Information

NPI Number: 1053870212
Entity Type: Individual
Name: Ryan Tacy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 18, 2019
Last Updated: Mar 18, 2019

Practice Location

Address: 1491 MAIN ST
City: Willimantic
State: Connecticut
ZIP Code: 06226-1914
Phone: (860) 456-3215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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