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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