Perry Tanksley, Chanae

Perry Tanksley, Chanae is an individual health care provider with primary practice located at 34 Jerome Ave Ste 106 , Bloomfield CT 06002-2463. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Perry Tanksley, Chanae can be contacted via phone (860) 952-3335.

Contact Information

Primary practice address
34 Jerome Ave Ste 106 Bloomfield CT 06002-2463
Fax: (860) 787-5517
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 02898 Connecticut

Profile Details

NPI number 1285328005
LBN Legal business name Perry Tanksley, Chanae
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2023
Last updated Jun 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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