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Organization

EMPOWERING SOLUTIONS, LLC

Active
Other names
Maritza Bourassa, LCSW
Organization subpart
No

Provider details

NPI number
Authorized official
MARITZA BOURASSA LCSW (MEMBER)
(860) 448-9755
Entity
Organization

Contact information

Practice address
481 GOLD STAR HWY STE 301, GROTON, CT 06340-6702
(860) 448-9755
(860) 405-1910
Mailing address
481 GOLD STAR HWY STE 301, GROTON, CT 06340-6702
(860) 448-9755
(860) 405-1910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005019
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004259059
CT
01
005019
ST. OF CT. LCSW NUMBER
CT
Enumeration date
01/07/2013
Last updated
01/07/2013
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