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ELLICE ROSOFF LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1295844215
Individual Registrant: ELLICE ROSOFF LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
300 CHURCH ST STE 202 YALESVILLE, CT 06492-2253 US
Tel: 203-265-7770 Fax: 203-269-1054
Tel: 203-265-7770 Fax: 203-269-1054
Contact information for business:
300 CHURCH ST STE 202 YALESVILLE, CT 06492-2253 US
Tel: 203-265-7770 Fax: 203-269-1054
Tel: 203-265-7770 Fax: 203-269-1054
Registration Information:
NPI: 1295844215
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CT | 003968 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 004178910 | CT | 05 |
