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Organization

ELLEN T. LACKO,MSW,LCSW,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN T. LACKO MSW, LCSW (SOCIAL WORKER)
(203) 733-5529
Entity
Organization

Contact information

Practice address
8 W FARM RIDGE RD, NEWTOWN, CT 06470-2408
(203) 733-0136
Mailing address
6527 MAIN ST, TRUMBULL, CT 06611-1385
(203) 733-5529

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003021
CT

Other

Enumeration date
07/10/2014
Last updated
07/10/2014
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