Individual
MRS. ELIZABETH JO VAN LEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 YORK ST, NEW HAVEN, NEW HAVEN, CT 06510-3220
(203) 415-2066
Mailing address
34 PARK ST, NEW HAVEN, NEW HAVEN, CT 06519-1109
(203) 974-7639
(203) 974-7637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006117
CT
Other
Enumeration date
07/22/2006
Last updated
04/08/2016
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