Individual
MRS. ELLEN L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
41 KENOSIA AVE, SUITE 201, DANBURY, CT 06810
(203) 792-4141
(203) 794-0536
Mailing address
41 KENOSIA AVE, SUITE 201, DANBURY, CT 06810
(203) 792-4141
(203) 794-0536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004388
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004254067
EDS
—
01
—
163856
VALUE OPTIONS
—
01
—
2079958
CIGNA
—
01
—
267792
MHN
—
01
—
760795939
PHCS
—
Enumeration date
02/09/2007
Last updated
07/08/2007
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