Individual
KELSEY DERUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
42 ANTHONY ST APT 20, JEWETT CITY, CT 06351-2236
(860) 237-2416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13787
CT
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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