Individual
LORI ELIZABETH BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1090 MAIN ST, BRANFORD, CT 06405-3716
(203) 606-5676
Mailing address
168 THOMPSON ST, NEW HAVEN, CT 06511-2091
(203) 606-5676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6338
CT
1041S0200X
School Social Worker
4228412184
CT
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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