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Contact Information

TAYLOR BURGOS
54-56 BOSTON POST ROAD
WILLIMANTIC, CT06226
 Phone: 860-456-7990
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for TAYLOR BURGOS · (Female)

NPI Number 1104344365
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2017
Last updated 07/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 10930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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