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Individual

ELISA MARIE QUESADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
256 ROUTE 87, COLUMBIA, CT 06237-1127
(860) 337-0112
Mailing address
256 ROUTE 87, COLUMBIA, CT 06237-1127
(860) 337-0112

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007734
CT
1041C0700X
Clinical Social Worker
SW 6442
FL

Other

Enumeration date
01/12/2013
Last updated
01/12/2013
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