Individual
ELIZABETH NACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
342 HARBOR ST, BRANFORD, CT 06405-4540
(203) 481-4248
(209) 483-7727
Mailing address
342 HARBOR ST, BRANFORD, CT 06405-4540
(203) 481-4248
(209) 483-7727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003472
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10447667
C.A.Q.H.
CT
01
—
140003472CT01
ANTHEM
CT
Enumeration date
08/30/2006
Last updated
09/05/2012
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