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ELIZABETH ALLEN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1033620679

Individual Registrant:
 ELIZABETH  ALLEN LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
106 TRUMAN ST  NEW LONDON, CT 06320-5680 US
Tel: 860-425-5258  Fax: --

Contact information for business:
115 S EDGEWOOD RD  NIANTIC, CT 06357-1615 US
Tel: 860-235-1351  Fax: --

Registration Information:
NPI: 1033620679
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT4858
N1041C0700XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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