Individual
MRS. ELIZABETH SOUCY MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
54 NORTH ST, WILLIMANTIC, CT 06226-2528
(860) 450-0151
(860) 450-7152
Mailing address
18 PATRIOT RD, WINDHAM, CT 06280-1424
(860) 208-6681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008462
CT
Other
Enumeration date
07/17/2007
Last updated
11/27/2013
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