Organization
JULIA L. ISRAELSKI, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA ISRAELSKI LCSW (LICENSED CLINICAL SOCIAL WORKER)
(516) 567-4727
Entity
Organization
Contact information
Practice address
954 MIDDLESEX TPKE, SUITE A2, OLD SAYBROOK, CT 06475-1302
(860) 575-8074
Mailing address
8 MITCHEL TER, IVORYTON, CT 06442-1024
(516) 567-4727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007226
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114175874
NPI TYPE 1
CT
Enumeration date
08/31/2012
Last updated
08/31/2012
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