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Individual

MRS. ELAINE BLUESTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
52 BEACH RD, SUITE 104, FAIRFIELD, CT 06824
(203) 254-2000
(203) 255-3126
Mailing address
52 BEACH RD, SUITE 104, FAIRFIELD, CT 06824
(203) 254-2000
(203) 255-3126

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000418
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1272864
CT
Enumeration date
11/17/2006
Last updated
09/29/2010
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