Individual
ELISE M BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 696-0020
Mailing address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 696-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
012326
CT
Other
Enumeration date
03/11/2016
Last updated
05/08/2024
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