Individual
MS. JO-ELLEN HUBELBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 BRIGADOON DR, CHESHIRE, CT 06410-1514
(203) 288-0242
Mailing address
50 BRIGADOON DR, CHESHIRE, CT 06410-1514
(203) 288-0242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004193
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008058177
—
CT
Enumeration date
09/16/2006
Last updated
09/22/2020
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