Individual
ELLEN TURNER LACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 E BROOK CT, BETHEL, CT 06801-1601
(203) 733-5529
Mailing address
14 E BROOK CT, BETHEL, CT 06801-1601
(203) 733-5529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003021
CT
Other
Enumeration date
02/12/2014
Last updated
09/10/2021
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